Christopher Sun Chun, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

65255 Issued in CA

Practice address

28212 Kelly Johnson Pkwy Ste 290
Valencia, CA 91355-5093

Phone

(661) 254-1924

NPI assigned

Apr 9, 2017

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 CA

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

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.

• David Han and Jason Gim, a General Partnership

  • Endodontics
  • Valencia, CA
  • NPI 1396136602
  NPD (past)

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1285167049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22129 SETTLER CT",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891480",
            "telephone_number": "909-270-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 290",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555093",
            "telephone_number": "661-254-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "CHRISTOPHER",
        "middle_name": "SUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-09",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "65255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Marlene Chuchuca
• Chukhman Dental Studio PC
• Adam Chukhman, DDS
• Anna Chukhman, D.D.S.
• Daniel Chukhman, DMD
• Ciana Sage, Licensed Clinical Social Worker, PC
• Deborah Lynne Cicconi, PH.D.
• Tye Shia Claibourn
• Clara Hwang Moon
• Clare Macaulay DDS, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.