Individual provider Active NPI

Kyoon Chung Begaye, DDS

  • General Practice Dentistry
  • Chamblee, GA
National Provider Identifier
1396767281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011247 Issued in GA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 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 Former name

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
011247GAMDGeneral 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.

Verify at the official NPI Registry.