Individual provider Active NPI

Hyo Jung Chung, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1114449907
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102966 Issued in CA
Practice address
1672 McKee Rd
San Jose, CA 95116-1235
Phone
(408) 272-3999
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DR03158 NJ
General Practice Dentistry 1223G0001X 102966 CA Primary

Addresses

Primary practice location

1672 McKee Rd
San Jose, CA 95116-1235

Mailing address

493 La Conner Dr Apt 4
Sunnyvale, CA 94087-5721
Phone (408) 470-8352

Other practice location 1

418 Summit Ave
Jersey City, NJ 07306-3101
Phone (201) 499-1975

Other names 1

  • Dr. Hyo Jung Chung Professional name

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

LicenseStateTypeSpecialty
102966CAMDGeneral Practice Dentistry
22DR03158NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vu a Tran DMD Inc General Practice Past Accepting new patients
Hao N. Tran, DDS, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1114449907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 LA CONNER DR APT 4",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940875721",
            "telephone_number": "408-470-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161235",
            "telephone_number": "408-272-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073063101",
            "country_code": "US",
            "telephone_number": "201-499-1975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HYO JUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DR03158",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HYO",
            "last_name": "CHUNG",
            "middle_name": "JUNG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.