Matthew Chong DO, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45452 Issued in CA

Practice address

100 Park Ave
Monterey, CA 93940-3324

Phone

(831) 373-4116

Fax

(831) 373-1744

NPI assigned

Jul 28, 2007

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

Other names 1

• Dr. Sueng Chong DO Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DO and Huh DDS Inc

  • Dental Clinic/Center
  • Los Banos, CA
  • NPI 1033660873
  NPD (past) Authorized official

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1275723967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403324",
            "telephone_number": "209-535-3469",
            "fax_number": "831-373-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403324",
            "telephone_number": "831-373-4116",
            "fax_number": "831-373-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "MATTHEW",
        "middle_name": "CHONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-28",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUENG",
            "last_name": "DO",
            "middle_name": "CHONG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Dino
• Marie Diridoni, MA MFT
• Chad Dispenza, MA, MS, AMFT
• Sammantha Carol Dixon
• Shari Ann Dizon, PPSC
• Doctor'S Choice Medical Massage
• Doctors Optical Service
• William Frances Dodson, DDS
• Luz A Dominguez
• Donald G. Goldman, a Medical Corporation

• All providers in Monterey, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.