Individual provider Active NPI

Jennifer Chon, DMD

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1528495082
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
057869 Issued in NY
Practice address
5417 5TH Ave
Brooklyn, NY 11220-6865
Phone
(347) 987-4777
NPI assigned
Sep 30, 2013
Last updated
Mar 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856028 MA
Pediatric Dentistry 1223P0221X 057869 NY Primary

Addresses

Primary practice location

5417 5TH Ave
Brooklyn, NY 11220-6865

Mailing address

5417 5TH Ave
Brooklyn, NY 11220-6865
Phone (347) 987-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1856028MAMDDentist
057869NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
WJG Dental, PC Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1528495082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206865",
            "telephone_number": "347-987-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206865",
            "telephone_number": "347-987-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHON",
        "first_name": "JENNIFER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856028",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.