NPIMap

Organization Active NPI

Chung Dental Group

  • Dentist
  • East Palo Alto, CA
National Provider Identifier
1780008334
Registry record updated Apr 23, 2014
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54242 Issued in CA
Legal business name
CHUNG DENTAL GROUP
Practice address
1765 E Bayshore Rd
Suite H
East Palo Alto, CA 94303-2503
Phone
(415) 608-1710
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Christopher Chung, DDS
Title
President
Phone
(415) 823-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 54242 CA Primary

Addresses

Primary practice location

1765 E Bayshore Rd
Suite H
East Palo Alto, CA 94303-2503

Mailing address

1765 E Bayshore Rd
Suite H
East Palo Alto, CA 94303-2503
Phone (415) 608-1710

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1780008334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 E BAYSHORE RD",
            "address_2": "SUITE H",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032503",
            "telephone_number": "415-608-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 E BAYSHORE RD",
            "address_2": "SUITE H",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032503",
            "telephone_number": "415-608-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-823-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.