Active NPI
Daniel D. Chung, DDS
- General Practice Dentistry
- Buena Park, CA
National Provider Identifier
1346363652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43590
- Practice address
- 8884 Knott Ave
Buena Park, CA 90620-4135 - Phone
- (714) 995-5000
- Fax
- (714) 995-5125
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43590 | CA | Primary |
Addresses
Primary practice location
8884 Knott Ave
Buena Park, CA 90620-4135
Mailing address
8884 Knott Ave
Buena Park, CA 90620-4135
Phone (714) 995-5000
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
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346363652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8884 KNOTT AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204135",
"telephone_number": "714-995-5000",
"fax_number": "714-995-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8884 KNOTT AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204135",
"telephone_number": "714-995-5000",
"fax_number": "714-995-5125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "DANIEL",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.