Active NPI
Chang Hun Chong, O.M.D
- Acupuncturist
- Dededo, GU
National Provider Identifier
1104030188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC3776
- Practice address
- Suite 1C 2068 Loutus Building Route 16
Dededo, GU 96929 - Phone
- (671) 637-4443
- NPI assigned
- May 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC3776 | CA | Primary |
Addresses
Primary practice location
Suite 1C 2068 Loutus Building Route 16
Dededo, GU 96929
Mailing address
P.O. Box 28585GMF Barrigada, Gu 96921
Suite 1C 2068 Loutus Building Route 16
Dededo, GU 96921
Phone (671) 637-4443
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 |
|---|---|---|---|
| AC3776 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104030188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 28585GMF BARRIGADA, GU 96921",
"address_2": "SUITE 1C 2068 LOUTUS BUILDING ROUTE 16",
"city": "DEDEDO",
"state": "GU",
"postal_code": "96921",
"telephone_number": "671-637-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUITE 1C 2068 LOUTUS BUILDING ROUTE 16",
"city": "DEDEDO",
"state": "GU",
"postal_code": "96929",
"telephone_number": "671-637-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "CHANG",
"middle_name": "HUN",
"name_prefix": "Dr.",
"credential": "O.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC3776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dededo, GU
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.