Robert Chuong DMD MD PA

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

ME46866 Issued in FL

Legal business name

ROBERT CHUONG DMD MD PA

Doing business as

Tampa Bay Maxillofacial Surgery

Practice address

2140 16TH St N
St Petersburg, FL 33704-3924

Phone

(727) 894-1442

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Chuong, M.D., D.M.D.

Title

President

Phone

(727) 894-1442

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• TAMPA BAY MAXILLOFACIAL SURGERY Doing business as

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1285756361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043924",
            "telephone_number": "727-894-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043924",
            "telephone_number": "727-894-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT CHUONG DMD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "CHUONG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-894-1442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "ME46866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84866",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "240631",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "17804",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2139383",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042348300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMPA BAY MAXILLOFACIAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ilene Rae Robeck, MD
• Hailey Jordan Roberson
• Lauren Michelle Roberson, MS., CCC-SLP
• Paul Alexander Roberson Jr.
• Robert C Bock PA
• Robert E Greene LCSW PA
• Robert E Wein, Inc
• Robert J. Parks, D.C. P.a.
• Robert J. Rogers General Contractors, Inc. (Grab Bar Experts)
• Robert S Nelson MD PA

• Oral & Maxillofacial Surgery (D.M.D.) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.