Scott Han Chung, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34979 Issued in TX

Practice address

6416 Casper RDG
El Paso, TX 79912-8129

Phone

(317) 504-2034

NPI assigned

Sep 9, 2008

Last updated

Sep 23, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1215186739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 CASPER RDG",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128129",
            "telephone_number": "317-587-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 CASPER RDG",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128129",
            "telephone_number": "317-504-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Mustang Chase Dr",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460748181",
            "country_code": "US",
            "telephone_number": "317-587-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SCOTT",
        "middle_name": "HAN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phithy Chu
• Paul Joseph Chubb, D.O.
• Ikedieze Igwe Chukwu, M.D.
• Jacquelyne Kay Chumley, APRN-CNP, PMHNP-BC
• Nakyung Chun, BCBA
• Laurence Jay Cibley
• Yahilyn Cifres
• Cima Hospice of El Paso, L.P. (Elara Caring)
• Cima Hospice of El Paso, L.P. (Elara Caring)
• Peter Cimasi

• Dentist in El Paso, TX
• Providers in El Paso, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.