NPIMap

Organization Active NPI

Ping-Lin Ben Chung, DDS, DMSC, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Azusa, CA
National Provider Identifier
1689028565
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
54943 Issued in CA
Legal business name
PING-LIN BEN CHUNG, DDS, DMSC, INC
Practice address
613 N Azusa Ave Ste a
Azusa, CA 91702-2968
Phone
(909) 393-5688
Fax
(909) 393-5288
NPI assigned
Apr 18, 2016
Organization subpart
Yes
Parent organization
PING-LIN BEN CHUNG, DDS, DMSC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dr. Ping-Lin Ben Chung, DDS, DMSCNPI 1750549820
Title
President
Phone
(909) 393-5688

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 54943 CA Primary

Addresses

Primary practice location

613 N Azusa Ave Ste a
Azusa, CA 91702-2968

Mailing address

4200 Chino Hills Pkwy Ste 860
Chino Hills, CA 91709-3784
Phone (909) 393-5688

National Provider Directory

National Provider Directory
Tax ID family
Ping-Lin Ben Chung DDS DMSC Inc2 organizations share this tax ID, including this one
Part of
Ping-Lin Ben Chung DDS DMSC Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1689028565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY STE 860",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093784",
            "telephone_number": "909-393-5688",
            "fax_number": "909-393-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N AZUSA AVE STE A",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022968",
            "telephone_number": "909-393-5688",
            "fax_number": "909-393-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PING-LIN BEN CHUNG, DDS, DMSC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PING-LIN BEN CHUNG, DDS, DMSC, INC",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "PING-LIN",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-393-5688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, DMSC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "54943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.