Organization Active NPI

Yueh R Chung, PLLC

  • Dental Clinic/Center
  • Fairfax, VA
National Provider Identifier
1457168221
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YUEH R CHUNG, PLLC
Practice address
11351 Random Hills Rd Ste 120
Fairfax, VA 22030-6081
Phone
(631) 623-8213
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Michelle Yueh-Chung Chik, DDSNPI 1457914699
Title
Pediatric Dentist
Phone
(703) 953-7870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11351 Random Hills Rd Ste 120
Fairfax, VA 22030-6081

Mailing address

43897 Arborvitae Dr
Ashburn, VA 20147-5661
Phone (703) 953-7870

Other names 1

  • Little Chik Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11351 Random Hills Rd
Ste 120
Fairfax, VA 22030
Phone (631) 623-8213

Practitioners & affiliated clinicians

Practitioners 1

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": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1457168221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43897 ARBORVITAE DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475661",
            "telephone_number": "703-953-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 RANDOM HILLS RD STE 120",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306081",
            "telephone_number": "631-623-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUEH R CHUNG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "CHIK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "YUEH-CHUNG",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "703-953-7870",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Chik Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.