Jefferson Family Dentistry, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFERSON FAMILY DENTISTRY, INC

Practice address

13176 Jefferson Ave Ste E
Newport News, VA 23608-1322

Phone

(757) 872-3100

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Yesook Chung

Title

Owner

Phone

(757) 872-3100

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jong J Chung, DDS

  • Dentist
  • Newport News, VA
  • NPI 1689739476

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1154966729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13176 JEFFERSON AVE STE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081322",
            "telephone_number": "757-872-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13176 JEFFERSON AVE STE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081322",
            "telephone_number": "757-872-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON FAMILY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "YESOOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-872-3100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jeffersonfamilydentistryva@gmail.com",
            "affiliation": "N",
            "address_1": "13176 Jefferson Ave Ste E",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236081322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• June G Javier, PHARMD
• Anna Jaybanks, MD
• Sadee Jayjock, PHARMD
• JC Revenue Cycle Management LLC
• Jeanie Home Health Care LLC
• Louise Elizabeth Jefferson, MS, PT
• Sharese Delois Jefferson
• Xavier D Jefferson, MD
• Jeffrey N Kenney DDS PLLC
• Jencare Neighborhood Medical New Market, LLC

• General Practice Dentistry in Newport News, VA
• Providers in Newport News, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.