Mi Young Chung DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54810 Issued in CA

Legal business name

MI YOUNG CHUNG DDS INC

Doing business as

MY Dental Center

Practice address

1252 N Euclid St
Anaheim, CA 92801-1966

Phone

(714) 776-8681

Fax

(714) 776-8783

NPI assigned

Aug 15, 2012

Last updated

Aug 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mi Young Chung, D.D.S.NPI 1639222953

Title

President and Secretary

Phone

(714) 776-8681

Specialties & licenses 1

Addresses

Other names 1

• MY Dental Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mi Young Chung, DDS

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1639222953
  NPD (past) Authorized official
• Seung Ji Han, DDS

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1962282400
  NPD (past)

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1699023184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011966",
            "telephone_number": "714-776-8681",
            "fax_number": "714-776-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011966",
            "telephone_number": "714-776-8681",
            "fax_number": "714-776-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI YOUNG CHUNG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "MI YOUNG",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "714-776-8681",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannie Tuyet-Huynh Meyers, LCSW
• Abigail Meza
• Christina Meza
• Leslie Meza
• Lilia Meza
• Aisha Miah
• Michael D Doucette MD Prof Corp (Acute & Diversified Psych)
• Michael K. Le, DDS, Inc (Yourdentist)
• Michael P Blum DDS a Professional Corporation
• Michael Poblete Optometric Corporation

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.