Jae Yon Chung Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JAE YON CHUNG DENTAL INC

Doing business as

White Plus Dental

Practice address

1075 N Western Ave
Suite 102
Los Angeles, CA 90029-2307

Phone

(323) 466-4567

Fax

(323) 733-0150

NPI assigned

Dec 18, 2012

Last updated

Feb 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jae Y Chung, DMD

Title

President

Phone

(323) 466-4567

Specialties & licenses 1

Addresses

Other names 1

• White Plus Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jung Hoon Hoon Choi, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1174030522
  NPD (past)
• Steve C. Lee, DMD

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1750638078
  NPD (past)

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391904000000",
    "number": "1245576321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 N WESTERN AVE",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292307",
            "telephone_number": "323-466-4567",
            "fax_number": "323-733-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N WESTERN AVE",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292307",
            "telephone_number": "323-466-4567",
            "fax_number": "323-733-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE YON CHUNG DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2014-02-09",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-466-4567",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Plus Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hossein Jadvar, M.D.
• Reza Jadvar, MD
• Jae G. Kim Professional Dental Corporation
• Jae Hoon Lee MD Inc
• Jae Paul Pak, M.D. Corporation
• Jae Yon Chung DMD Dental Corporation
• Jae Yong Yoo, M.D., Inc
• Gretchen M Jaeger, SP
• Kelly M Jaeger, ATC
• Amy Marie Jaehning, FNP

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; 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.