Individual provider Active NPI

Andrew Chun, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Falls Church, VA
National Provider Identifier
1659034932
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401417282 Issued in VA
Practice address
3400 Payne St
Falls Church, VA 22041-2249
Phone
(703) 578-0000
NPI assigned
Oct 14, 2021
Reactivated
Nov 28, 2022
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401417282 VA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 17572 MD
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401417282 VA Primary

Addresses

Primary practice location

3400 Payne St
Falls Church, VA 22041-2249

Mailing address

3400 Payne St
Falls Church, VA 22041-2249

Other practice location 1

1286 Maryland Rt 3 S Ste 7
Crofton, MD 21114-1340
Phone (703) 719-5828

Other practice location 2

600 W St NW
Washington, DC 20059-1022
Phone (202) 806-0064

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
17572MDMDOrthodontics and Dentofacial Orthopedic Dentist
0401417282VAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1659034932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PAYNE ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PAYNE ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412249",
            "telephone_number": "703-578-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1286 Maryland Rt 3 S Ste 7",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211141340",
            "country_code": "US",
            "telephone_number": "703-719-5828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200591022",
            "country_code": "US",
            "telephone_number": "202-806-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "deactivation_date": "2022-10-24",
        "reactivation_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417282",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "17572",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401417282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.