Seunghwan Chung, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

53203 Issued in CA

Practice address

7291 Boulder Ave Ste 2B
Highland, CA 92346-6900

Phone

(909) 425-8980

Fax

(909) 862-6695

NPI assigned

May 15, 2018

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

• Seunghwan Chung D.D.S., Inc.

  • Dental Clinic/Center
  • Highland, CA
  • NPI 1669184032
  Medicare reassignment NPD Authorized official
• Highland Village Dentistry

  • General Practice Dentistry
  • Highland, CA
  • NPI 1487848511
  NPD (past)
• Yoo Kyeom Huh DMD MSD Dental Corp

  dba Finesse Endodontics

  • Endodontics
  • San Gabriel, CA
  • NPI 1265265656
  NPD (past)
• Yuan-Lung Hung DMD.Ms.Inc

  • Dental Clinic/Center
  • San Gabriel, CA
  • NPI 1134544273
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1629568688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7291 BOULDER AVE STE 2B",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923466900",
            "telephone_number": "909-425-8980",
            "fax_number": "909-862-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7291 BOULDER AVE STE 2B",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923466900",
            "telephone_number": "909-425-8980",
            "fax_number": "909-862-6695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5429 Rosemead Blvd",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917762212",
            "country_code": "US",
            "telephone_number": "626-286-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SEUNGHWAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PO-Ting CHI, DMD
• Wayne Shyh Chiu, DDS
• Chandra Chockalingam, DDS
• Jongyeob Choi, DDS
• Chopra Medical LLC
• Kelli Anne Clark, NP
• Nancy Elizabeth Clark, LCSW
• Terry Lee Clayville, O.D.
• Michael J Coen, M.D.
• Bradley A Cole, M.D.

• Dentist in Highland, CA
• Providers in Highland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.