Individual provider Active NPI

Hoyoung Chun

  • General Practice Dentistry
  • Socorro, TX
National Provider Identifier
1346560166
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25057 Issued in TX
Practice address
11501 Socorro Rd
Socorro, TX 79927-3060
Phone
(915) 603-4633
Fax
(877) 796-0125
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25057 TX
General Practice Dentistry 1223G0001X 25057 TX Primary

Addresses

Primary practice location

11501 Socorro Rd
Socorro, TX 79927-3060

Mailing address

11501 Socorro Rd
Socorro, TX 79927-3060
Phone (915) 603-4633

Other names 1

  • Roy Chun Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218003345 TX Order and Referring Only - DentistPractitioner - Dentist 4486957362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25057TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jr Dental Group, PLLC Dentist PastSince Jan 1, 2015 Accepting new patients
Roy Chun, DDS, PA Dentist PastSince May 1, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1346560166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 SOCORRO RD",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799273060",
            "telephone_number": "915-603-4633",
            "fax_number": "877-796-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 SOCORRO RD",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799273060",
            "telephone_number": "915-603-4633",
            "fax_number": "877-796-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "HOYOUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25057",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROY",
            "last_name": "CHUN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Socorro, TX

Sources for this page

Verify at the official NPI Registry.