NPIMap

Organization Active NPI

Tony Chung,MD,DMD,Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Van Nuys, CA
National Provider Identifier
1619158367
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
OMS 11 Issued in CA
Legal business name
TONY CHUNG,MD,DMD,INC.
Practice address
14600 Sherman Way
Suite 260
Van Nuys, CA 91405-2283
Phone
(818) 780-2062
Fax
(818) 780-5192
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Dr. Tony Yatshing Chung, MD,DMDNPI 1922104942
Title
Ceo
Phone
(818) 780-2062

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X OMS 11 CA Primary

Addresses

Primary practice location

14600 Sherman Way
Suite 260
Van Nuys, CA 91405-2283

Mailing address

14600 Sherman Way
Suite 260
Van Nuys, CA 91405-2283
Phone (818) 780-2062

National Provider Directory

National Provider Directory

Locations

14600 Sherman Way
Ste 260
Van Nuys, CA 91405
Phone (818) 780-2062

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1619158367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY",
            "address_2": "SUITE 260",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-780-2062",
            "fax_number": "818-780-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY",
            "address_2": "SUITE 260",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-780-2062",
            "fax_number": "818-780-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY CHUNG,MD,DMD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "YATSHING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-780-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS 11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.

Verify at the official NPI Registry.