Organization Active NPI

Chinhak Chun, M.D.

  • Infectious Disease Physician
  • Natick, MA
National Provider Identifier
1174640775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
56712 Issued in MA
Legal business name
CHINHAK CHUN, M.D.
Practice address
67 Union St
Suite 203a
Natick, MA 01760-7700
Phone
(508) 653-3966
Fax
(508) 655-7209
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chinhak Chun, M.D.
Title
Owner
Phone
(508) 653-3966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 56712 MA Primary

Addresses

Primary practice location

67 Union St
Suite 203a
Natick, MA 01760-7700

Mailing address

P O Box 416
Dover, MA 02030
Phone (508) 653-3966

Other identifiers 1

IdentifierTypeStateIssuer
9767754MedicaidMA

National Provider Directory

National Provider Directory

Locations

67 Union St
#303
Natick, MA 01760
Phone (508) 653-3966

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174640775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 416",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "02030",
            "telephone_number": "508-653-3966",
            "fax_number": "508-655-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "address_2": "SUITE 203A",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "508-653-3966",
            "fax_number": "508-655-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINHAK CHUN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "CHINHAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-653-3966",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "56712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9767754",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • 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.