Jae H Chun, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21577 Issued in TX

Practice address

7917 McPherson Rd
Suite 202
Laredo, TX 78045-2811

Phone

(956) 712-8444

Fax

(956) 712-8439

NPI assigned

May 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Laredo Covenant Dental, P.a.

  • General Practice Dentistry
  • Laredo, TX
  • NPI 1477669257
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1316114101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 MCPHERSON RD",
            "address_2": "SUITE 202",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452811",
            "telephone_number": "956-712-8444",
            "fax_number": "956-712-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7917 MCPHERSON RD",
            "address_2": "SUITE 202",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452811",
            "telephone_number": "956-712-8444",
            "fax_number": "956-712-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "JAE",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162811702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "G6003101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiro Incorporated
• Elizabeth Chisum
• Christian Cabello Pediatric Dentistry
• Christopher Berlioz DO PA
• Victor Chukwu-Remy, MD
• Hiu Yi Chung
• Marcia Anne Chung, MD
• Cigarroa Interventional -ASC LLC
• Cigarroa Interventional Obl LLC
• Carlos G Cigarroa, MD

• General Practice Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.