Ji Yoon Chung, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35887 Issued in TX

Practice address

18217 Midway Rd Ste 122
Dallas, TX 75287-4938

Phone

(972) 307-7777

NPI assigned

Jan 15, 2020

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 TX

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 and National Provider Directory roles.

• Lone Star Dental and Braces Kiest PLLC

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1316344989
  NPD (past)
• Sweta Sheth DDS

  • Dentist
  • Dallas, TX
  • NPI 1326594177
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1083254213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113294",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750113294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18217 MIDWAY RD STE 122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752874938",
            "telephone_number": "972-307-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103B W US Highway 80",
            "address_purpose": "LOCATION",
            "city": "White Oak",
            "state": "TX",
            "postal_code": "756932003",
            "country_code": "US",
            "telephone_number": "430-201-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 S State Highway 161",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750527205",
            "country_code": "US",
            "telephone_number": "469-203-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 W Kiest Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752243231",
            "country_code": "US",
            "telephone_number": "469-726-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JI",
        "middle_name": "YOON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D Chung, M.D.
• Anna Yumi Chung
• Cameron Noelle Chung, DMD
• Dai H Chung, M.D.
• Helen Chung, PH.D.
• Johnathon Chung, DO
• Joseph Chung
• Michelle Chung, MD
• Paul Chung, M.D.
• Sei Y Chung, M.D.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 Jul 3, 2024; 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.