Organization Active NPI

CHI Whan Chung DDS PC

  • Dentist
  • Fairfax, VA
National Provider Identifier
1568868693
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412213 Issued in VA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Dr. CHI Whan Chung, DDSNPI 1235386954
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.