Chung NG, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS105617 Issued in CA

Practice address

2220 Mountain Blvd Ste 204
Oakland, CA 94611-2905

Phone

(510) 482-0600

NPI assigned

Apr 25, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Wilson NG Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1134975741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MORAGA ST UPPR UNIT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224205",
            "telephone_number": "415-830-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD STE 204",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112905",
            "telephone_number": "510-482-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "CHUNG",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS105617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILSON",
            "last_name": "NG",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaimila Neyon, D.C.
• Rosario Beatriz Neyra Tercero, LCSW, PPSC
• Christi Fontain Ashley NG, MD
• Christina Pinki NG, MD
• Christine Wing Wah NG, O.D.
• Colin Grant NG, P.T.
• Daphne NG, LMFT 127790
• David T. NG, MD
• Gloria NG, CMT, DH
• Hailey NG, RDN

• Orthodontics and Dentofacial Orthopedics Dentistry in Oakland, CA
• Providers in Oakland, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.