Carolyn Marie Chong, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

47602 Issued in CA

Practice address

2850 Telegraph Ave
Suite 202
Berkeley, CA 94705-1192

Phone

(510) 841-6357

Fax

(510) 841-8566

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1255438172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 TELEGRAPH AVE",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051192",
            "telephone_number": "510-841-6357",
            "fax_number": "510-841-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TELEGRAPH AVE",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051192",
            "telephone_number": "510-841-6357",
            "fax_number": "510-841-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "47602",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "HI",
            "license": "DT-2001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherri Suann Choate, DPM
• Helen O Chodsky, PA-C
• Miran Choi, M.D.
• Choicetherapy Psychological Services, Inc.
• Nathanael Choisser
• Masoud Sultan Chopan, DO
• Harneet Chopra, MD
• Alison Frances Chou
• Elayne Chou, PH.D.
• Jennifer Chou

• Endodontics in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.