Wing Y Chung, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37323 Issued in CA

Practice address

172 W College St
Covina, CA 91723-2007

Phone

(626) 974-0905

Fax

(626) 974-5775

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Doc Chung Dental Group - Covina, Inc

  • General Practice Dentistry
  • Covina, CA
  • NPI 1134649130
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699856930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232007",
            "telephone_number": "626-974-0905",
            "fax_number": "626-974-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232007",
            "telephone_number": "626-974-0905",
            "fax_number": "626-974-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "WING",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jihee Chun, D.D.S
• Carrie A Chung, LCSW
• Chelsie Chung
• Eunice Chung
• Robert Michael Chung, D.D.S
• Maliah Church
• Cifhs, the Family Center
• Jerry J Cimmarusti, MD
• Cinergy Home Health Services Inc.
• Eduardo Cintron

• General Practice Dentistry in Covina, CA
• Providers in Covina, 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 Jul 8, 2007; 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.