Jenna Jane Chung, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS043256 Issued in PA

Practice address

600 W Dekalb Pike Ste 302
King of Prussia, PA 19406-3060

Phone

(484) 704-7670

NPI assigned

Jul 29, 2021

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Kop Dental Care

  • General Practice Dentistry
  • King of Prussia, PA
  • NPI 1730735283
  NPD

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1306519897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 GINKGO DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W DEKALB PIKE STE 302",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063060",
            "telephone_number": "484-704-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JENNA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aruna Chivukula, M.D.
• Jaclyn Chmielewski
• Amber Christian, BCBA
• CHS Pennsylvania Medical, P.C. (Altria Health Center)
• Myron Chu, D.O.
• Ciccarone Chiropractic Care Center, Inc
• Rita Anne Ciccarone, D.C.
• Jaclyn S Cimiluca I, RDN
• Cari Danielle Cinamella, O.D.
• Jennifer Cini, LMT/MMP

• Dentist in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.