Organization Active NPI

Robert a. Chong, D.D.S., Inc.

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1710001631
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1605 Issued in CA
Legal business name
ROBERT A. CHONG, D.D.S., INC.
Practice address
460 Bush Street
Floor 2
San Francisco, CA 94108-3739
Phone
(415) 681-0668
NPI assigned
Mar 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Dr. Robert A. Chong, D.D.S.NPI 1548384464
Title
President/Ceo
Phone
(415) 681-0668

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1605 CA Primary

Addresses

Primary practice location

460 Bush Street
Floor 2
San Francisco, CA 94108-3739

Mailing address

460 Bush Street
Floor 2
San Francisco, CA 94108-3739
Phone (415) 681-0668

National Provider Directory

National Provider Directory

Locations

460 Bush St
Fl 2
San Francisco, CA 94108
Phone (415) 681-0668

350 Parnassus Ave
Ste 403
San Francisco, CA 94117
Phone (415) 681-0668

Practitioners & affiliated clinicians

Practitioners 3

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": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1710001631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BUSH STREET",
            "address_2": "FLOOR 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941083739",
            "telephone_number": "415-681-0668",
            "fax_number": "415-795-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BUSH STREET",
            "address_2": "FLOOR 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941083739",
            "telephone_number": "415-681-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. CHONG, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "415-681-0668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "1605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.