Hee Ran Chuong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-028827L Issued in PA

Practice address

515 Old Swede Rd
Douglassville, PA 19518-1208

Phone

(610) 385-0022

Fax

(610) 385-0025

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Krystle Heeran Chuong Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coventry Dentistry LLC

  • General Practice Dentistry
  • Pottstown, PA
  • NPI 1417467945
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013078740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 OLD SWEDE RD",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181208",
            "telephone_number": "610-385-0022",
            "fax_number": "610-385-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 OLD SWEDE RD",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181208",
            "telephone_number": "610-385-0022",
            "fax_number": "610-385-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUONG",
        "first_name": "HEE RAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-028827L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTLE",
            "last_name": "CHUONG",
            "middle_name": "HEERAN",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Diana Rene Burick, PA-C
• Brianna Buscemi
• Deborah Canonica, MS
• Child and Family Support Servcies, Inc.
• Jeongwon Choi
• Companions As Caregivers LLC
• Anne Marie Cormier, MSW LSW MDIV
• Olivia Rose Cozzone, PA-C
• Emily Crawford
• Vera Cutler

• General Practice Dentistry in Douglassville, PA
• Providers in Douglassville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.