Active NPI
Joseph K Chung, DMD
- Dentist
- Rock Hill, NY
National Provider Identifier
1376745398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 044771
- Practice address
- 230 Rock Hill Drive
Rock Hill, NY 12775 - Phone
- (845) 796-3160
- Fax
- (845) 796-3465
- NPI assigned
- Jun 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 044771 | NY | Primary |
Addresses
Primary practice location
230 Rock Hill Drive
Rock Hill, NY 12775
Mailing address
PO Box 510
Rock Hill, NY 12775-0510
Phone (845) 796-3160
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 |
|---|---|---|---|
| 044771 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1376745398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510",
"city": "ROCK HILL",
"state": "NY",
"postal_code": "127750510",
"telephone_number": "845-796-3160",
"fax_number": "845-796-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 ROCK HILL DRIVE",
"city": "ROCK HILL",
"state": "NY",
"postal_code": "12775",
"telephone_number": "845-796-3160",
"fax_number": "845-796-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JOSEPH",
"middle_name": "K",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "044771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.