Isaac Du Quoc Chung, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN.00203039 Issued in CO

Practice address

10463 Park Meadows Dr Ste 206
Lone Tree, CO 80124-5318

Phone

(303) 662-9000

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ichung284002@direct.childrenscolorado.org

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.

• Children's Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1720508518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 PARK MEADOWS DR STE 206",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245318",
            "telephone_number": "303-662-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10463 PARK MEADOWS DR STE 206",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245318",
            "telephone_number": "303-662-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ISAAC",
        "middle_name": "DU QUOC",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00203039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO DENTAL LICENSE",
            "identifier": "DEN.00203039",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720508518",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Christie, LPC
• Christina Munro OD PC
• Elise Caroline Irene Chu, M.D.
• Ian Chun, MD
• Courtneyrose Chung, LMFT, LPC, LAC
• Carolyn Church
• Jonathan Hugh Churchill, P.A.
• Amanda Dianne Clark, AUD
• Kelly Noelle Clark, FNP
• Larry K Clark, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.