Individual provider Active NPI

David L Chong, M.D.

  • Psychiatry Physician
  • Gilbert, AZ
National Provider Identifier
1467897330
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
52748 Issued in AZ
Practice address
428 S Gilbert Rd Ste 109
Gilbert, AZ 85296-2262
Phone
(480) 935-3200
Fax
(480) 935-3205
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 52748 AZ Primary

Addresses

Primary practice location

428 S Gilbert Rd Ste 109
Gilbert, AZ 85296-2262

Mailing address

428 S Gilbert Rd Ste 109
Gilbert, AZ 85296-2262
Phone (480) 935-3200

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
I20170801002552 AZ Practitioner - Psychiatry 0446529382 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jul 1, 2017 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Arizona Restorative Psychiatry Psychiatry CurrentSince Feb 1, 2020 Accepting new patients

Locations

459 N Gilbert Rd
Ste C110
Gilbert, AZ 85234
Phone (480) 393-3021

428 S Gilbert Rd
Ste 109
Gilbert, AZ 85296
Phone (480) 749-4655

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

Organizations & group practices 3

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1467897330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962262",
            "telephone_number": "480-935-3200",
            "fax_number": "480-935-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962262",
            "telephone_number": "480-935-3200",
            "fax_number": "480-935-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "52748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.