Justin Weitseng Chong, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN014085 Issued in GA

Practice address

13075 Highway 9 N Ste 110
Milton, GA 30004-5147

Phone

(770) 521-2100

NPI assigned

May 28, 2010

Last updated

Jul 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Gocd Lawrenceville LLC

  • Dentist
  • Lawrenceville, GA
  • NPI 1083338685

  General Practice

  NPD Authorized official
• CW Dent LLC

  • Pediatric Dentistry
  • Milton, GA
  • NPI 1356734115
  NPD (past) Authorized official
• JPC Dental Group

  dba Milton Dental Specialists

  • Dentist
  • Milton, GA
  • NPI 1578940904
  NPD (past) Authorized official

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1023337094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MADELINE LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504023",
            "telephone_number": "404-512-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 HIGHWAY 9 N STE 110",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300045147",
            "telephone_number": "770-521-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "JUSTIN",
        "middle_name": "WEITSENG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014085",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038623",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014085",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS038623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latitia Butler, LPC
• Cardwell Therapy Services, LLC
• Lucinda Kay Cardwell, MA, LMFT
• Janet Donnelly Carraway, RNC, BSN, IBCLC
• James C. Chapman, DMD
• In Hae Chung, SLP
• Halle Alexis Cohn
• Stephanie Anne Coleman-Lawrence, M.D.
• Tracy Collins, PT, DPT, MS, CNS
• Joanie M Cooper, RPH

• Pediatric Dentistry in Milton, GA
• Providers in Milton, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.