Organization Active NPI

Alan P Chun DDS MD Inc

  • Oral and Maxillofacial Pathology Dentistry
  • San Ramon, CA
National Provider Identifier
1104907823
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
OMS25 Issued in CA
Legal business name
ALAN P CHUN DDS MD INC
Practice address
9301 Fircrest LN
Suite 6
San Ramon, CA 94583-3960
Phone
(925) 833-8516
Fax
(925) 833-8347
NPI assigned
Oct 18, 2006
Last updated
May 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Alan P Chun, DDS MD INCNPI 1013008598
Title
Oral Surgeon
Phone
(925) 833-8516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X OMS25 CA Primary

Addresses

Primary practice location

9301 Fircrest LN
Suite 6
San Ramon, CA 94583-3960

Mailing address

9301 Fircrest LN
Suite 6
San Ramon, CA 94583-3960
Phone (925) 833-8516

National Provider Directory

National Provider Directory

Locations

9301 Fircrest Ln
Ste 2
San Ramon, CA 94583
Phone (925) 828-1420

9301 Fircrest Ln
Ste 6
San Ramon, CA 94583
Phone (925) 833-8516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1104907823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 FIRCREST LN",
            "address_2": "SUITE 6",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833960",
            "telephone_number": "925-833-8516",
            "fax_number": "925-833-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 FIRCREST LN",
            "address_2": "SUITE 6",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833960",
            "telephone_number": "925-833-8516",
            "fax_number": "925-833-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN P CHUN DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "925-833-8516",
        "authorized_official_credential": "DDS MD INC"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "OMS25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.