Chungmi Jo Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29969 Issued in TX

Legal business name

CHUNGMI JO DENTAL PC

Practice address

6000 McKinney Ranch Pkwy
Ste 101
McKinney, TX 75070

Phone

(713) 471-0122

Fax

(866) 892-0774

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Chungmi Kim, DDS

Title

Owner

Phone

(713) 471-0122

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chungmi Jo, DDS

  • General Practice Dentistry
  • Waxahachie, TX
  • NPI 1003222811
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1043725849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MCKINNEY RANCH PKWY",
            "address_2": "STE 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "713-471-0122",
            "fax_number": "866-892-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MCKINNEY RANCH PKWY",
            "address_2": "STE 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "713-471-0122",
            "fax_number": "866-892-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNGMI JO DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHUNGMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-471-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1003222811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Chua, PT
• Anthony Ted Chuang, D.O.
• Michael Hsiang Chung, MD
• Sue Hyun Chung, DDS
• Yu-Chen Jennie Chung, MD
• Rudolf Churner, MD
• Candace Chuyou-Campbell, M.S., LPC, RPT
• Emily Eng Li Chwa, PA-C
• Kelsi Cieslinski
• Alyssa Cinclair, CNM

• General Practice Dentistry in McKinney, TX
• Providers in McKinney, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.