David J Chon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

65220 Issued in CA

Practice address

612 E Carson St #101
Carson, CA 90745

Phone

(310) 469-9355

NPI assigned

Jun 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walter Jefferson, D.D.S., Inc.

  • Dentist
  • Carson, CA
  • NPI 1295270734
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1679912422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E CARSON ST #101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-469-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E CARSON ST #101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-469-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHON",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60385512",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesley R Houske Jr., DDS, Inc
• John K Cheung, L.AC, MSOM
• Chic Glam Slay
• Chidinma Jenny Chikezie, PHARMD
• Sebastine Emeka Chikezie, NP
• Daniel Chow, PHARMD.
• Christine G. Ferrer Chiropractic, Inc
• Jessica Christion
• Auvrell G Christophe, PHLEBOTOMIST
• Amy Tien-Tsuen Chu, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.