Individual provider Active NPI

John Yearncharn Chung, DMD

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1609421452
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101596 Issued in CA
Practice address
8754 Garden Grove Blvd
Garden Grove, CA 92844-1251
Phone
(714) 539-1200
NPI assigned
Aug 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 101596 CA Primary

Addresses

Primary practice location

8754 Garden Grove Blvd
Garden Grove, CA 92844-1251

Mailing address

100 E Macarthur Blvd Unit 342
Santa Ana, CA 92707-8759
Phone (714) 349-9736

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
101596CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John Y Chung DMD Inc General Practice Current Accepting new patients
Boung Yeop Kim DDS Inc General Practice CurrentSince Aug 11, 2019 Accepting new patients

Locations

8754 Garden Grove Blvd
Garden Grove, CA 92844
Phone (714) 305-7465

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1609421452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MACARTHUR BLVD UNIT 342",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078759",
            "telephone_number": "714-349-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8754 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441251",
            "telephone_number": "714-539-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JOHN",
        "middle_name": "YEARNCHARN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.