Active NPI
Euna Chung Koo, D.D.S.
- Dentist
- Cincinnati, OH
National Provider Identifier
1518129568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.023913
- Practice address
- 7729 Montgomery Rd
Cincinnati, OH 45236-4297 - Phone
- (513) 793-1241
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.023913 | OH | Primary |
Addresses
Primary practice location
7729 Montgomery Rd
Cincinnati, OH 45236-4297
Mailing address
7729 Montgomery Rd
Cincinnati, OH 45236-4297
Phone (513) 793-1241
Other practice location 1
5445 Meridian Marks Rd NE
Suite 275
Atlanta, GA 30342-4763
Phone (404) 252-3188
Other names 1
- Dr. Una Monica Chung
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150121000598 | OH | Order and Referring Only - Oral Surgery | 7810211935 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael D. Rolfes D.D.S. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Cincinnati, OH
- NPI 1215141585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1518129568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7729 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452364297",
"telephone_number": "513-793-1241",
"fax_number": "513-793-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7729 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452364297",
"telephone_number": "513-793-1241"
}
],
"practiceLocations": [
{
"address_1": "5445 Meridian Marks Rd NE",
"address_2": "Suite 275",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303424763",
"country_code": "US",
"telephone_number": "404-252-3188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOO",
"first_name": "EUNA",
"middle_name": "CHUNG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.023913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "UNA",
"last_name": "CHUNG",
"middle_name": "MONICA",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.