Active NPI
Kristy Chung, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Sunnyvale, CA
National Provider Identifier
1285667972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 51563
- Practice address
- 860 E. Remington Dr. Suite a
Sunnyvale, CA 94087 - Phone
- (408) 675-1700
- Fax
- (408) 542-9797
- NPI assigned
- Jul 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 20693 | MA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 51563 | CA | Primary |
Addresses
Primary practice location
860 E. Remington Dr. Suite a
Sunnyvale, CA 94087
Mailing address
860 E. Remington Dr. Suite a
Sunnyvale, CA 94087
Phone (408) 675-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0204358 | Medicaid | MA |
Other names 1
- Kyung Won Chung
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 |
|---|---|---|---|
| 20693 | MA | MD | Physical Therapist |
Interoperability endpoints
- kchung249468@direct-ucsfmedicalcenter.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1285667972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E. REMINGTON DR. SUITE A",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94087",
"telephone_number": "408-675-1700",
"fax_number": "408-542-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E. REMINGTON DR. SUITE A",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94087",
"telephone_number": "408-675-1700",
"fax_number": "408-542-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "KRISTY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "20693",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "51563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0204358",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KYUNG",
"last_name": "CHUNG",
"middle_name": "WON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.