Individual provider Active NPI

Daniel Chun, DDS

  • General Practice Dentistry
  • Tysons, VA
National Provider Identifier
1346979119
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401417912 Issued in VA
Practice address
8230 Boone Blvd Ste 410
Tysons, VA 22182-2646
Phone
(703) 848-8906
NPI assigned
Jun 7, 2022
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401417912 VA Primary

Addresses

Primary practice location

8230 Boone Blvd Ste 410
Tysons, VA 22182-2646

Mailing address

6510 Dryden Dr
MC Lean, VA 22101-4626
Phone (571) 723-5155

Other practice location 1

3930 Pender Dr Ste 150
Fairfax, VA 22030-0986
Phone (703) 214-7117

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

LicenseStateTypeSpecialty
0401417912VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Osinovsky, DDS PC General Practice PastSince Jun 12, 2022 Accepting new patients

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1346979119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 DRYDEN DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014626",
            "telephone_number": "571-723-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 BOONE BLVD STE 410",
            "city": "TYSONS",
            "state": "VA",
            "postal_code": "221822646",
            "telephone_number": "703-848-8906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Pender Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220300986",
            "country_code": "US",
            "telephone_number": "703-214-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tysons, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.