Active NPI
John W. Chung D.D.S., Inc.
- Dental Clinic/Center
- Oxnard, CA
National Provider Identifier
1174173488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JOHN W. CHUNG D.D.S., INC.
- Doing business as
- John W. Chung D.D.S., INC.
- Practice address
- 905 W 7TH St
Oxnard, CA 93030-6755 - Phone
- (805) 487-4903
- Fax
- (805) 487-0009
- NPI assigned
- Sep 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John W. Chung II, DDA
- Title
- Ceo/Owner
- Phone
- (805) 487-4903
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
905 W 7TH St
Oxnard, CA 93030-6755
Mailing address
905 W 7TH St
Oxnard, CA 93030-6755
Phone (805) 487-4903
Other names 1
- John W. Chung D.D.S., INC.
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Oxnard | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
905 W 7th St
Oxnard, CA 93030
Phone (805) 487-4903
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Oxnard, CA
- NPI 1699788034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568764800000",
"number": "1174173488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 W 7TH ST",
"city": "OXNARD",
"state": "CA",
"postal_code": "930306755",
"telephone_number": "805-487-4903",
"fax_number": "805-487-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 W 7TH ST",
"city": "OXNARD",
"state": "CA",
"postal_code": "930306755",
"telephone_number": "805-487-4903",
"fax_number": "805-487-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN W. CHUNG D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "805-487-4903",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DDA"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Oxnard",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "905 W 7th St",
"city": "Oxnard",
"state": "CA",
"country_code": "US",
"postal_code": "930306755",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "John W. Chung D.D.S., INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.