Chung Kun Wang, DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

38619 Issued in CA

Legal business name

CHUNG KUN WANG, DDS, INC.

Practice address

1580 Valencia St
Suite 605
San Francisco, CA 94110-4423

Phone

(415) 648-5100

Fax

(415) 648-9035

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chung Kun Wang, DDSNPI 1881654481

Title

President

Phone

(415) 648-5100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Chung Kun Wang, DDS

  • Pediatric Dentistry
  • San Francisco, CA
  • NPI 1881654481
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801010897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE 605",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-648-5100",
            "fax_number": "415-648-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE 605",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-648-5100",
            "fax_number": "415-648-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG KUN WANG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHUNG KUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-648-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "38619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Chun, M.A., LMFT
• Kwan Chun, MD
• Stanford Wellington Chun, MD
• Stephanie Noi Ling Chun, MD
• Wendy Yan-Kay Chun, NP
• Dorothy Chung Yeung, D.P.T.
• Ai-Kyung Chung, CRNA
• Alfred Chung
• Anna Chung
• Cally Chung, PHARMD

• Pediatric Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.