Active NPI
Hyo Jung Chung, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1114449907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 102966
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 102966 | CA | MD | General Practice Dentistry |
| 22DR03158 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- San Jose, CA
- NPI 1558995381
-
- General Practice Dentistry
- San Jose, CA
- NPI 1093858870
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.