Bryce C. Chun, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

60541 Issued in CA

Practice address

620 California Blvd Ste L
San Luis Obispo, CA 93401-2545

Phone

(805) 545-9400

Fax

(805) 545-8336

NPI assigned

Aug 16, 2011

Last updated

Aug 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Eric Oakley DDS a Professional Dental Corporation

  • Periodontics
  • Yuba City, CA
  • NPI 1275442014
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1437438884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CALIFORNIA BLVD STE L",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012545",
            "telephone_number": "805-545-9400",
            "fax_number": "805-545-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CALIFORNIA BLVD STE L",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012545",
            "telephone_number": "805-545-9400",
            "fax_number": "805-545-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "BRYCE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "60541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Eli Christensen, M.D.
• Anja B.C. Christie-Johnson, LMFT
• Christine Lopopolo MD PC
• Sarah Minh Christman
• Stephen Kwok-Sum Chu, MD
• Jamie Cinotto, DPT
• Annalea Nicole Cirillo
• Denise Cirisan
• Kevin Cirone, LPT
• City of San Luis Obispo

• Periodontics in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.