Individual provider Active NPI

Chun-Ting Ching, DMD

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1558742874
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32252 Issued in TX
Practice address
1150 W Kiest Blvd Ste 200
Dallas, TX 75224-3231
Phone
(469) 726-4441
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32252 NV
General Practice Dentistry 1223G0001X 32252 NV
General Practice Dentistry 1223G0001X 32252 TX Primary

Addresses

Primary practice location

1150 W Kiest Blvd Ste 200
Dallas, TX 75224-3231

Mailing address

1150 W Kiest Blvd Ste 200
Dallas, TX 75224-3231
Phone (469) 726-4441

Other identifiers 1

IdentifierTypeStateIssuer
1558742874MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208000463 TX Order and Referring Only - DentistPractitioner - Dentist 0941560122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32252NVMDDentist
32252TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Dental and Braces Kiest PLLC General Practice PastSince Apr 28, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1558742874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W KIEST BLVD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243231",
            "telephone_number": "469-726-4441",
            "fax_number": "702-366-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W KIEST BLVD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243231",
            "telephone_number": "469-726-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHING",
        "first_name": "CHUN-TING",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "32252",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "32252",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558742874",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.