Marilyn B.J. Chun, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DT 2108 Issued in HI

Practice address

1000 Kamehameha Hwy
#235
Pearl City, HI 96782-2881

Phone

(808) 456-5953

Fax

(808) 455-4453

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in HI

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

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.

• Pearl Family Dental Care, Inc

  dba Pearl Family Dental Care Pearl City

  • General Practice Dentistry
  • Pearl City, HI
  • NPI 1821177924
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053478859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-800 KAHAEA PL",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967012770",
            "telephone_number": "808-488-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 KAMEHAMEHA HWY",
            "address_2": "#235",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822881",
            "telephone_number": "808-456-5953",
            "fax_number": "808-455-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "MARILYN",
        "middle_name": "B.J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT 2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ching
• Thomas Alan Ching, D.D.S.
• Clarence Yl Chinn, PROSTHODONTIST
• Christina Kilton Nutrition LLC
• Chrystalline Sagario LLC
• Cindy S. Kubota, DMD LLC
• CKW Star Inc. (Star Physical Therapy)
• Clear Sight Hawaii LLC
• Christine Rhea Agtarap Coloma-Paranada
• Compass Medical Supply

• Dentist in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Dentist in Hawaii

• 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.
• 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.