Active NPI
Susan Jenny Chon, D.D.S.
- General Practice Dentistry
- Alton, TX
National Provider Identifier
1376846287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26163
- Practice address
- 1315 W Main Ave Ste 10
Alton, TX 78573-1643 - Phone
- (956) 599-9446
- Fax
- (956) 599-9449
- NPI assigned
- Dec 15, 2010
- Last updated
- Mar 16, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 26163 | TX | Primary |
Addresses
Primary practice location
1315 W Main Ave Ste 10
Alton, TX 78573-1643
Mailing address
1315 W Main Ave Ste 10
Alton, TX 78573-1643
Phone (956) 599-9446
Other names 1
- Dr. Susan Jenny Lee
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 |
|---|---|---|---|
| 26163 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSCL Corp PLLC | General Practice | Past | 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": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1376846287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 W MAIN AVE STE 10",
"city": "ALTON",
"state": "TX",
"postal_code": "785731643",
"telephone_number": "956-599-9446",
"fax_number": "956-599-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 W MAIN AVE STE 10",
"city": "ALTON",
"state": "TX",
"postal_code": "785731643",
"telephone_number": "956-599-9446",
"fax_number": "956-599-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHON",
"first_name": "SUSAN",
"middle_name": "JENNY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-15",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "26163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LEE",
"middle_name": "JENNY",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.