Organization Active NPI

Jung I CHI MD PA

  • Internal Medicine Physician
  • Richardson, TX
National Provider Identifier
1447400320
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F0416 Issued in TX
Legal business name
JUNG I CHI MD PA
Practice address
600 W Campbell Rd
Suite 4
Richardson, TX 75080-3385
Phone
(214) 941-9672
Fax
(214) 941-4746
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Jung I CHI, M.D.
Title
President
Phone
(214) 941-9672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X F0416 TX Primary

Addresses

Primary practice location

600 W Campbell Rd
Suite 4
Richardson, TX 75080-3385

Mailing address

600 W Campbell Rd
Suite 4
Richardson, TX 75080-3385
Phone (214) 941-9672

Other identifiers 2

IdentifierTypeStateIssuer
0986275-02MedicaidTX
000000NN72OtherTXBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

221 W Colorado Blvd
Ste 315
Dallas, TX 75208
Phone (214) 941-9672

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1447400320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CAMPBELL RD",
            "address_2": "SUITE 4",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803385",
            "telephone_number": "214-941-9672",
            "fax_number": "214-941-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CAMPBELL RD",
            "address_2": "SUITE 4",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803385",
            "telephone_number": "214-941-9672",
            "fax_number": "214-941-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG I CHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-941-9672",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F0416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0986275-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS     BLUESHIELD",
            "identifier": "000000NN72",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.