Daniel T. Chung, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40799 Issued in CA

Practice address

1809 Verdugo Blvd
Suite# 340
Glendale, CA 91208-1402

Phone

(818) 952-9011

Fax

(818) 952-9014

NPI assigned

Feb 7, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1720128093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD",
            "address_2": "SUITE# 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402",
            "telephone_number": "818-952-9011",
            "fax_number": "818-952-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD",
            "address_2": "SUITE# 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402",
            "telephone_number": "818-952-9011",
            "fax_number": "818-952-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DANIEL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "954646984",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bettina Dennise Chua, FNP-C
• Elizabeth Chulack, PSYD
• Marie Chuldzhyan, MA, MS
• Manuk Mike Chulyan, P.A.
• Michael Chun
• Elianne Chung, SLP
• Esther Chung, O.D.
• Hyun Soo Chung, L.AC.
• Jenny Chung
• Justin Han Chung, DPT

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 Jun 21, 2010; 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.