Brad Michael Chun, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DT-2788 Issued in HI

Practice address

4211 Waialae Ave Ste 111
Honolulu, HI 96816-5300

Phone

(808) 485-1177

NPI assigned

Jan 29, 2019

Last updated

Jan 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1164986618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 PUUIKENA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212564",
            "telephone_number": "808-347-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 111",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165300",
            "telephone_number": "808-485-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "BRAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "DT-2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Mieko Chun
• Benjamin J. D. H. Chun, MD
• Benton H.H. Chun, M.D.
• Bernard K Chun, M.D.
• Blayse Chun
• Bradley A Chun, M.D.
• Colleen Chun, PHARMD
• Craig B Chun, M.D.
• Daven K Chun, M.D.
• David Chun, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.