Active NPI
Sandra Y Chung, DDS
- Dentist
- Kings Point, NY
National Provider Identifier
1346554193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- AN0768197-066
- Practice address
- 300 Steamboat Rd
Patten Health Services, Dental Clinic
Kings Point, NY 11024-1634 - Phone
- (516) 726-5673
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| AN0768197-066 | NY | MD | Dentist |
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 |
|---|---|---|---|---|
| Dentist | 122300000X | AN0768197-066 | NY | Primary |
Addresses
Primary practice location
300 Steamboat Rd
Patten Health Services, Dental Clinic
Kings Point, NY 11024-1634
Mailing address
300 Steamboat Rd
Patten Health Services, Dental Clinic
Kings Point, NY 11024-1634
Phone (516) 726-5673
NPI Registry JSON
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1346554193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STEAMBOAT RD",
"address_2": "PATTEN HEALTH SERVICES, DENTAL CLINIC",
"city": "KINGS POINT",
"state": "NY",
"postal_code": "110241634",
"telephone_number": "516-726-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STEAMBOAT RD",
"address_2": "PATTEN HEALTH SERVICES, DENTAL CLINIC",
"city": "KINGS POINT",
"state": "NY",
"postal_code": "110241634",
"telephone_number": "516-726-5673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "SANDRA",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "AN0768197-066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.