Active NPI
Alexander Yong-Kwon Chung, D.D.S.
- Prosthodontics
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 44466
- Practice address
- 215 N State College Blvd Ste J
Anaheim, CA 92806-2995 - Phone
- (714) 333-0770
- Fax
- (657) 208-3373
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 44466 | CA | Primary |
Addresses
Primary practice location
215 N State College Blvd Ste J
Anaheim, CA 92806-2995
Mailing address
215 N State College Blvd Ste J
Anaheim, CA 92806-2995
Phone (714) 333-0770
Other practice location 1
2118 S Hacienda Blvd
Hacienda Heights, CA 91745-4242
Phone (626) 369-9998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44466 | CA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Yong-Kwon Chung Dental Corporation | Prosthodontics | Current | Accepting new patients |
Locations
215 N State College Blvd
Ste J
Anaheim, CA 92806
Phone (714) 333-0770
2118 S Hacienda Blvd
Hacienda Heights, CA 91745
Phone (626) 333-1672
Organizations & group practices 1
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.
-
dba Yes Dental Implant Center
- Prosthodontics
- Anaheim, CA
- NPI 1548887318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593302400000",
"number": "1801051776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N STATE COLLEGE BLVD STE J",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928062995",
"telephone_number": "714-333-0770",
"fax_number": "657-208-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N STATE COLLEGE BLVD STE J",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928062995",
"telephone_number": "714-333-0770",
"fax_number": "657-208-3373"
}
],
"practiceLocations": [
{
"address_1": "2118 S Hacienda Blvd",
"address_purpose": "LOCATION",
"city": "Hacienda Heights",
"state": "CA",
"postal_code": "917454242",
"country_code": "US",
"telephone_number": "626-369-9998",
"fax_number": "626-369-9993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "ALEXANDER",
"middle_name": "YONG-KWON",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2020-06-28",
"certification_date": "2020-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "44466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.