Individual provider Active NPI

Chae Kyung Dunavan, LAC

  • Acupuncturist
  • Temecula, CA
National Provider Identifier
1053440446
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 10558 Issued in CA
Practice address
41593 Winchester Rd Ste 122
Temecula, CA 92590-4858
Phone
(951) 929-3333
Fax
(951) 929-0660
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC10558 CA
Acupuncturist 171100000X AC 10558 CA Primary

Addresses

Primary practice location

41593 Winchester Rd Ste 122
Temecula, CA 92590-4858

Mailing address

41593 Winchester Rd Ste 122
Temecula, CA 92590-4858
Phone (951) 929-3333

Other identifiers 1

IdentifierTypeStateIssuer
0OtherNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 10558CAMDAcupuncturist
AC10558CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Marrs Chiropractic Clinic Inc Single Specialty Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1053440446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD STE 122",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904858",
            "telephone_number": "951-929-3333",
            "fax_number": "951-929-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD STE 122",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904858",
            "telephone_number": "951-929-3333",
            "fax_number": "951-929-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAVAN",
        "first_name": "CHAE",
        "middle_name": "KYUNG",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10558",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.