Active NPI
CHI Whan Chung DDS PC
- Dentist
- Fairfax, VA
National Provider Identifier
1568868693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412213
- Legal business name
- CHI WHAN CHUNG DDS PC
- Practice address
- 3611 Chain Bridge Rd Ste B
Fairfax, VA 22030-3246 - Phone
- (703) 273-8450
- Fax
- (703) 649-6357
- NPI assigned
- Nov 18, 2014
- Last updated
- Nov 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. CHI Whan Chung, DDS
- Title
- Dentist
- Phone
- (703) 273-8450
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401412213 | VA | Primary |
Addresses
Primary practice location
3611 Chain Bridge Rd Ste B
Fairfax, VA 22030-3246
Mailing address
3611 Chain Bridge Rd Ste B
Fairfax, VA 22030-3246
National Provider Directory
National Provider DirectoryLocations
3611 Chain Bridge Rd
Ste B
Fairfax, VA 22030
Phone (703) 273-5033
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Fairfax, VA
- NPI 1235386954
-
- Dentist
- Fairfax, VA
- NPI 1619210341
-
- General Practice Dentistry
- Fairfax, VA
- NPI 1023279783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1568868693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 CHAIN BRIDGE RD STE B",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 CHAIN BRIDGE RD STE B",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303246",
"telephone_number": "703-273-8450",
"fax_number": "703-649-6357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHI WHAN CHUNG DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-18",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "CHI WHAN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "703-273-8450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.