Active NPI
Madeleine Chung, D.D.S.
- Dentist
- Austin, TX
National Provider Identifier
1255770525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29136
- Practice address
- 13341 W US 290 Building 1-107
Austin, TX 78737 - Phone
- (512) 607-6880
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29136 | TX | Primary |
Addresses
Primary practice location
13341 W US 290 Building 1-107
Austin, TX 78737
Mailing address
13341 W US 290 Building 1-107
Austin, TX 78737
Phone (512) 607-6880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29136 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1255770525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13341 W US 290 BUILDING 1-107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78737",
"telephone_number": "512-607-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13341 W US 290 BUILDING 1-107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78737",
"telephone_number": "512-607-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "MADELEINE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.