Dyeus M Chung, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

13905 Issued in MD

Practice address

1840 Folsom St Ste 302
Boulder, CO 80302-5712

Phone

(303) 938-8300

NPI assigned

Oct 16, 2006

Last updated

Sep 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1174603963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 FOLSOM ST STE 302",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025712",
            "telephone_number": "303-938-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 FOLSOM ST STE 302",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025712",
            "telephone_number": "303-938-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DYEUS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "13905",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00010389",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901018462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Christoforou, OTR/L
• Chronic Care Consultants
• Chrysalis Counseling (Center for Change)
• Richard Chubbs, PTA
• Michelle Chun
• Scott Kenneth Church, LPC
• Jennifer Churchill, DPT
• Jessica Churnside, MED, LPC
• Linda Ann Ciampoli, LMT
• Julie Marie Ciecior

• Periodontics in Boulder, CO
• Providers in Boulder, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.