David Chong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60772685 Issued in WA

Practice address

1000 Union Ave SE Ste 101
Olympia, WA 98501-1589

Phone

(360) 357-5290

NPI assigned

Aug 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• David Chong DDS PLLC

  • Dentist
  • Olympia, WA
  • NPI 1164361887
  NPD Authorized official
• Eugene H. Peeples, DDS

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1497904858
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1609390350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 UNION AVE SE STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011589",
            "telephone_number": "360-357-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60772685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Paul Chiveney, M.A, LMHC (CMHS)
• Amanda Cho
• Deana Lynn Choi, M.D.
• Youngbin Choi, M.D.
• Choice Regional Health Network
• Stacy Choplin
• Raeanna Lee Chrest
• Bradley Clifford Christ, MD
• Kalea VI Christensen, M.A., LMHCA
• Logan A Christensen, MSW, LICSW

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.