NPIMap

Organization Active NPI

Coventry Dentistry LLC

  • General Practice Dentistry
  • Pottstown, PA
National Provider Identifier
1417467945
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COVENTRY DENTISTRY LLC
Practice address
2317 Pottstown Pike
Pottstown, PA 19465-8722
Phone
(484) 985-8337
Fax
(484) 985-8249
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Krystle H Chuong, D.D.S.
Title
Doctor/Owner
Phone
(610) 385-0022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS-022827L PA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS-028367L PA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2317 Pottstown Pike
Pottstown, PA 19465-8722

Mailing address

957 Ben Franklin Hwy W
Douglassville, PA 19518-1037
Phone (610) 385-0022

National Provider Directory

National Provider Directory

Locations

2317 Pottstown Pike
Pottstown, PA 19465
Phone (484) 985-8337

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1417467945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 BEN FRANKLIN HWY W",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181037",
            "telephone_number": "610-385-0022",
            "fax_number": "610-385-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 POTTSTOWN PIKE",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194658722",
            "telephone_number": "484-985-8337",
            "fax_number": "484-985-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENTRY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "CHUONG",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "610-385-0022",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-022827L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-028367L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.