Doc Chung Dental Group - Covina, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOC CHUNG DENTAL GROUP - COVINA, INC

Practice address

172 W College St
Covina, CA 91723-2007

Phone

(626) 974-0905

Fax

(626) 974-5775

NPI assigned

Jun 21, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wing Y Chung, DDSNPI 1699856930

Title

Ceo

Phone

(626) 974-0905

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Wing Y Chung, DDS

  • General Practice Dentistry
  • Covina, CA
  • NPI 1699856930
  NPD (past) Authorized official
• Robert Michael Chung, D.D.S

  • Dentist
  • Covina, CA
  • NPI 1821547498
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134649130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232007",
            "telephone_number": "626-974-0905",
            "fax_number": "626-974-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232007",
            "telephone_number": "626-974-0905",
            "fax_number": "626-974-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC CHUNG DENTAL GROUP - COVINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "WING",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-974-0905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Djabourian
• DM Laser and Derma Center
• Anthony DO, DPT
• Benjamin DO, PHARM.D
• Trami Thi DO, MS
• Document Management Services Inc
• Julie Dodd
• Haley Cherie Dodds
• Isabel Dolter
• Gloria Monique Dominguez

• General Practice Dentistry in Covina, CA
• Providers in Covina, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.