Individual provider Active NPI

Daniel Hyun Chong, DDS

  • Dentist
  • Federal Way, WA
National Provider Identifier
1609854926
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010313 Issued in WA
Practice address
33301 9TH Ave S Ste 125
Federal Way, WA 98003-2600
Phone
(253) 946-6361
Fax
(253) 838-1750
NPI assigned
Jan 6, 2006
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00010313 WA Primary
Prosthodontics 1223P0700X DT2206 HI
Prosthodontics 1223P0700X DE00010313 WA

Addresses

Primary practice location

33301 9TH Ave S Ste 125
Federal Way, WA 98003-2600

Mailing address

33301 9TH Ave S Ste 125
Federal Way, WA 98003-2600
Phone (253) 946-6361

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT2206HIMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel H Chong DDS PS Dentist CurrentSince Sep 17, 2015 Accepting new patients

Locations

33301 9th Ave S
Ste 125
Federal Way, WA 98003
Phone (253) 946-6361

Organizations & group practices 1

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1609854926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33301 9TH AVE S STE 125",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980032600",
            "telephone_number": "253-946-6361",
            "fax_number": "253-838-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33301 9TH AVE S STE 125",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980032600",
            "telephone_number": "253-946-6361",
            "fax_number": "253-838-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "DANIEL",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010313",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "HI",
            "license": "DT2206",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00010313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.