Lee Chung DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEE CHUNG DDS PA

Practice address

7431 NW Loop 410 Ste 105
San Antonio, TX 78245-3597

Phone

(210) 680-0553

Fax

(210) 680-0593

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Lee Chung, DDSNPI 1871932624

Title

Owner/Dentist

Phone

(281) 384-9183

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental Place Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Chung, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1871932624
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1740062652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 NW LOOP 410 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453597",
            "telephone_number": "210-680-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 NW LOOP 410 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453597",
            "telephone_number": "210-680-0553",
            "fax_number": "210-680-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE CHUNG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-384-9183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331400702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Robert Ledoux, PA-C
• Peter R Ledoux, MD
• Steven Edmund Ledwig, D.D.S.
• Lee & Milani Family Dentistry
• Mariana Lee Acevedo
• Lee Dental Centers
• Lee Keenen DPM PLLC
• Lee Kirchner MD PA
• Lee Medical Associates, P.a.
• Abigail J Lee, M.D.

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.