Hyewon Jamie Chung, DDS, MMSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DDS64625 Issued in CA

Practice address

1 Embarcadero Ctr
San Francisco, CA 94111-3628

Phone

(415) 680-5090

NPI assigned

Aug 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie Hyewon Chung Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jeremy K Ueno DMD a Professional Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Campbell, CA
  • NPI 1629682901
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1487902136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HARRISON ST APT 26C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052791",
            "telephone_number": "415-680-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113628",
            "telephone_number": "415-680-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HYEWON",
        "middle_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "DDS, MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DL11707",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS64625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "CHUNG",
            "middle_name": "HYEWON",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cyndi Uy Chung, M.D. M.B.A.
• Eleanor L Chung, M.D.
• Emily Jin Wen Chung, DMD
• Francis Hyunjin Chung, DDS
• Heejay A Chung, D.M.D.
• Irene W Chung, PHARMD
• Jason Ern-CHI Chung, MD, PHD
• Jey Kaelun Chung Jr., M.D.
• Joseph C Chung
• Julia Kay Chung, AUD

• Periodontics in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.