Active NPI
Kyung Hoon Chung, DDS MS
- Dentist
- Ontario, CA
National Provider Identifier
1598871956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30517
- Practice address
- 941 W Mission Blvd
Suite H
Ontario, CA 91762-6890 - Phone
- (909) 984-7883
- Fax
- (909) 984-7883
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30517 | CA | Primary |
Addresses
Primary practice location
941 W Mission Blvd
Suite H
Ontario, CA 91762-6890
Mailing address
941 W Mission Blvd
Suite H
Ontario, CA 91762-6890
Phone (909) 984-7883
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30517 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amina J Chaudhry DDS Inc | Past | Accepting new patients | |
| Jimmy K Bhatt, DDS, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Ontario, CA
- NPI 1043716384
-
- Dental Clinic/Center
- Ontario, CA
- NPI 1598261059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598871956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 W MISSION BLVD",
"address_2": "SUITE H",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917626890",
"telephone_number": "909-984-7883",
"fax_number": "909-984-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 W MISSION BLVD",
"address_2": "SUITE H",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917626890",
"telephone_number": "909-984-7883",
"fax_number": "909-984-7883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "KYUNG",
"middle_name": "HOON",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "30517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.