Yooshun Chung, DMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1860 Texas Avenue
Bridge City, TX 77611

Phone

(409) 735-8146

NPI assigned

Jul 13, 2011

Last updated

May 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advanced Dental

  • Dentist
  • Bridge City, TX
  • NPI 1306134101
  NPD (past)
• Gulfside Dental Bridge City PLLC

  • General Practice Dentistry
  • Bridge City, TX
  • NPI 1255838082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1407144363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 TENNEY STREET #E",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "77611",
            "telephone_number": "407-865-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TEXAS AVENUE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "77611",
            "telephone_number": "409-735-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "YOOSHUN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge City Isd
• Bridge City Occupational Rehabilitation and Pain Management, Inc. (Bridge City Physical Therapy and Pain Management)
• Bridge City Pharmacy LLC (Bridge City Family Pharmacy)
• Cardinal Chiropractic
• Henok Chichiso
• David O Olson, DDS, PC
• Dr. Heidi B. Doucet P.L.L.C.
• Roderick John Fisette, M.D.
• Fred Zoch DDS
• Benjamin Joseph Garcia, APRN

• Student in an Organized Health Care Education/Training Program in Bridge City, TX
• Providers in Bridge City, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.