Chung Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26047 Issued in CA

Legal business name

CHUNG DENTAL CORPORATION

Practice address

1301 Ynez PL
Coronado, CA 92118-2925

Phone

(619) 435-6227

Fax

(619) 435-4717

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By 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. Kwang-Su Peter Chung, D.D.S.

Title

President

Phone

(619) 435-6227

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154445120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YNEZ PL",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182925",
            "telephone_number": "619-435-6227",
            "fax_number": "619-435-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YNEZ PL",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182925",
            "telephone_number": "619-435-6227",
            "fax_number": "619-435-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "KWANG-SU",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-435-6227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene V. Kakimoto, MD, Inc
• Charlotte a. Lee, M.D., P.a.
• Alexis Guadalupe Chavez
• Byeng Yuen Choi, ACUPUNCTURIST
• Chris S. Pallia, MD, Apc
• City of Coronado
• Matthew Civilette
• Laura Mead Clapper, MD
• Coastal Concierge Physicians
• Jill Collins, RN

• General Practice Dentistry in Coronado, CA
• Providers in Coronado, 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 Aug 22, 2020; 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.