Active NPI
Kyoon Chung Begaye, DDS
- General Practice Dentistry
- Chamblee, GA
National Provider Identifier
1396767281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 011247
- Practice address
- 2502 Chamblee Tucker Rd
Suite 101
Chamblee, GA 30341-3529 - Phone
- (770) 457-9446
- NPI assigned
- Jul 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 011247 | GA | Primary |
Addresses
Primary practice location
2502 Chamblee Tucker Rd
Suite 101
Chamblee, GA 30341-3529
Mailing address
1570 Reindeer RDG
Alpharetta, GA 30005-3660
Phone (770) 781-9707
Other names 1
- Dr. Kyoon Ja Chung
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 |
|---|---|---|---|
| 011247 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396767281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 REINDEER RDG",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053660",
"telephone_number": "770-781-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 CHAMBLEE TUCKER RD",
"address_2": "SUITE 101",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303413529",
"telephone_number": "770-457-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEGAYE",
"first_name": "KYOON",
"middle_name": "CHUNG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "011247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYOON",
"last_name": "CHUNG",
"middle_name": "JA",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.