Active NPI
Christine Huyen Chung, D.D.S.
- General Practice Dentistry
- Laguna Woods, CA
National Provider Identifier
1083706444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43474
- Practice address
- 24310 Moulton Pkwy
Suite C1
Laguna Woods, CA 92637-3306 - Phone
- (714) 859-3988
- Fax
- (949) 859-3578
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43474 | CA | Primary |
Addresses
Primary practice location
24310 Moulton Pkwy
Suite C1
Laguna Woods, CA 92637-3306
Mailing address
24310 Moulton Pkwy
Suite C1
Laguna Woods, CA 92637-3306
Phone (714) 859-3988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-089-6800 | Other | CA | TAX I.D.NUMBER |
| G91961-01 | Other | CA | DENTI-CAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 43474 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 7 Days Dental | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Laguna Woods, CA
- NPI 1831239888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083706444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24310 MOULTON PKWY",
"address_2": "SUITE C1",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926373306",
"telephone_number": "714-859-3988",
"fax_number": "949-859-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24310 MOULTON PKWY",
"address_2": "SUITE C1",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926373306",
"telephone_number": "714-859-3988",
"fax_number": "949-859-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "CHRISTINE",
"middle_name": "HUYEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I.D.NUMBER",
"identifier": "33-089-6800",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "G91961-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laguna Woods, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.