Andrew Hun Chon, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

112761 Issued in CA

Practice address

16475 Sierra Lakes Pkwy Ste 140
Fontana, CA 92336-1259

Phone

(909) 357-0869

NPI assigned

May 10, 2016

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 15, 2020 through Dec 15, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Columbia Center for Implants & Periodontics

  • Periodontics
  • Columbia, MD
  • NPI 1932733896
  NPD
• Jefferson and Chokka Dental Corporation

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1902003593
  NPD (past)
• Periodontal Associates of North Florida, PLLC

  • Dental Clinic/Center
  • Tallahassee, FL
  • NPI 1295245181
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1457707374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 W SALLIE LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16475 SIERRA LAKES PKWY STE 140",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361259",
            "telephone_number": "909-357-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHON",
        "first_name": "ANDREW",
        "middle_name": "HUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "112761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umber Chohan, M.D.
• Lisa J. Choi-Flores, MD
• Chul Choi, MD
• Sidney Choi
• Yunyoung Choi, L.AC.
• Noelle Chong
• Phillip Chong, M.D.
• Eric Tsoung-CHI Chou, MD
• Tania Choudhary, MD
• Andrew Wukkyo Choung, M.D.

• Periodontics in Fontana, CA
• Providers in Fontana, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.