Individual provider Active NPI

David Paul Chung, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Briarcliff Manor, NY
National Provider Identifier
1568525145
Registry record updated Feb 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
052539 Issued in NY
Practice address
325 S Highland Ave
Suite 107
Briarcliff Manor, NY 10510-2096
Phone
(914) 236-3136
Fax
(914) 236-3137
NPI assigned
Dec 18, 2006
Last updated
Feb 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 052539 NY Primary

Addresses

Primary practice location

325 S Highland Ave
Suite 107
Briarcliff Manor, NY 10510-2096

Mailing address

325 S Highland Ave
Suite 107
Briarcliff Manor, NY 10510-2096
Phone (914) 236-3136

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
052539NYMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425081600000",
    "number": "1568525145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S HIGHLAND AVE",
            "address_2": "SUITE 107",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102096",
            "telephone_number": "914-236-3136",
            "fax_number": "914-236-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S HIGHLAND AVE",
            "address_2": "SUITE 107",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102096",
            "telephone_number": "914-236-3136",
            "fax_number": "914-236-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "052539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.