Jeanhee Chung, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401418428 Issued in VA

Practice address

5690 Three Notch D Rd Ste 100
Crozet, VA 22932-3173

Phone

(434) 823-4080

NPI assigned

Jun 2, 2023

Last updated

Jun 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Locations

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.

• James W Willis DDS PLC

  dba Crozet Family Dental

  • Dentist
  • Crozet, VA
  • NPI 1972210268
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1487348538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15409 TERRACE GREENE CIR",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232897",
            "telephone_number": "540-553-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 THREE NOTCH D RD STE 100",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323173",
            "telephone_number": "434-823-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JEANHEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Caldwell, M.ED.
• Annie Terrell Carter, PTA
• Lauren Merkle Carter, PH.D.
• Cary Garland Hastings Chenery, M.ED., CCC-SLP
• Katina Serlemitsos Christopher, MD
• Kelly Ruffi Clem, OTR/L
• Brandan Clifford, OTR/L
• Kevin M. Clifford, DDS
• Amy Zaiser Cobert, SLP
• Charles Willson Cocke, DPT

• Dentist in Crozet, VA
• Providers in Crozet, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.