J. Chung, D.D.S., Inc.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

45444 Issued in CA

Legal business name

J. CHUNG, D.D.S., INC.

Practice address

3250 W Olympic Blvd
Ste 208
Los Angeles, CA 90006-2367

Phone

(323) 766-1004

NPI assigned

Feb 14, 2015

Organization subpart

No

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

Authorized official

Name

Joo Sung Chung, DMDNPI 1821243551

Title

President

Phone

(323) 766-1004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joo Sung Chung

  • Prosthodontics
  • Los Angeles, CA
  • NPI 1821243551
  NPD Authorized official

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423872000000",
    "number": "1679964456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W OLYMPIC BLVD",
            "address_2": "STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062367",
            "telephone_number": "323-766-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W OLYMPIC BLVD",
            "address_2": "STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062367",
            "telephone_number": "323-766-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CHUNG, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-14",
        "last_updated": "2015-02-14",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JOO SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-766-1004",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "45444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2015; 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.