Individual provider Active NPI

Jung T Dao, MD

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1427007202
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
29246 Issued in AZ
Practice address
3815 E Bell Rd
Suite 2500
Phoenix, AZ 85032-2122
Phone
(602) 258-4321
Fax
(602) 253-5917
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 29246 AZ Primary

Addresses

Primary practice location

3815 E Bell Rd
Suite 2500
Phoenix, AZ 85032-2122

Mailing address

3815 E Bell Rd
Suite 2500
Phoenix, AZ 85032-2122
Phone (602) 258-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070925000352 AZ Practitioner - Ophthalmology 2961596663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29246AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornea & Cataract Consultants of Arizona PC Ophthalmology CurrentSince Aug 1, 2001 Accepting new patients
Pain Centers Nationwide, PC Past Accepting new patients

Locations

1100 S Dobson Rd
Ste 120
Chandler, AZ 85286
Phone (480) 336-2085

1100 S Dobson Rd
Ste 120
Mesa, AZ 85202

9185 W Thunderbird Rd
Peoria, AZ 85381

9185 W Thunderbird Rd
Ste C101
Peoria, AZ 85381
Phone (480) 336-2085

9185 W Thunderbird Rd
Ste 101
Peoria, AZ 85381

3815 E Bell Rd
Ste 2500
Phoenix, AZ 85032
Phone (602) 258-4321

2517 N Great Western Dr
Prescott Valley, AZ 86314
Phone 9284451341 ext. 239

21803 N Scottsdale Rd
Ste 290
Scottsdale, AZ 85255
Phone (602) 258-4321

1141 E Cooley St
Ste H
Show Low, AZ 85901
Phone (928) 368-3125

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEGCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1427007202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD",
            "address_2": "SUITE 2500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322122",
            "telephone_number": "602-258-4321",
            "fax_number": "602-253-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD",
            "address_2": "SUITE 2500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322122",
            "telephone_number": "602-258-4321",
            "fax_number": "602-253-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "JUNG",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "29246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.