DR. SUPAK CHOTI DDS NPI 1003003781

Dentist in Burney, CA

About SUPAK CHOTI

Supak Choti is a provider in Burney, CA. The NPI number assigned to this provider is 1003003781. The practitioner's primary taxonomy code is Dentist (122300000X). The provider is registered as an individual and their NPI record was last updated 5 years ago.

NPI1003003781 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. SUPAK CHOTI DDS
Provider Location Address38096 HIGHWAY 299 E BURNEY, CA 96013 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address3671 FOOTHILL BLVD REDDING, CA 96001 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-26-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-04-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. SUPAK CHOTI DDS
38096 HIGHWAY 299 E
BURNEY, CA
ZIP 96013
Phone: (530) 410-5851
Get Directions

Mailing Address

DR. SUPAK CHOTI DDS
3671 FOOTHILL BLVD
REDDING, CA
ZIP 96001
Phone: (530) 510-3077

Primary Taxonomy

Taxonomy Code122300000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
License No.56408
License StateCA
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
56408MEDICAID (05)CA

Map Location


DR. SUPAK CHOTI DDS address is 38096 HIGHWAY 299 E BURNEY, CA 96013