Active NPI
Christina K. Chung, D.D.S.
- Dentist
- Albuquerque, NM
National Provider Identifier
1386885002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD3689
- Practice address
- 8201 Golf Course Rd NW Ste C3
Albuquerque, NM 87120-5805 - Phone
- (505) 892-9010
- NPI assigned
- Mar 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58114 | CA | |
| Dentist | 122300000X | DD3689 | NM | Primary |
Addresses
Primary practice location
8201 Golf Course Rd NW Ste C3
Albuquerque, NM 87120-5805
Mailing address
8201 Golf Course Rd NW Ste C3
Albuquerque, NM 87120-5805
Phone (505) 892-9010
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 |
|---|---|---|---|
| DD3689 | NM | MD | Dentist |
| 58114 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1386885002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 GOLF COURSE RD NW STE C3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871205805",
"telephone_number": "505-892-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 GOLF COURSE RD NW STE C3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871205805",
"telephone_number": "505-892-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "CHRISTINA",
"middle_name": "K.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58114",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD3689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.