Jae Chung Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7319 Issued in AZ

Legal business name

JAE CHUNG FAMILY DENTAL

Doing business as

JC Family Dental

Practice address

401 E Bell Rd
Suite 14
Phoenix, AZ 85022-2300

Phone

(602) 375-8646

Fax

(602) 547-1301

NPI assigned

Dec 6, 2013

Last updated

Dec 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jae W Chung, D.D.S.

Title

Dentist/ Member

Phone

(602) 375-8646

Specialties & licenses 1

Addresses

Other names 1

• JC Family Dental Doing business as

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1831520410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E BELL RD",
            "address_2": "SUITE 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222300",
            "telephone_number": "602-375-8646",
            "fax_number": "602-547-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BELL RD",
            "address_2": "SUITE 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222300",
            "telephone_number": "602-375-8646",
            "fax_number": "602-547-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE CHUNG FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/ MEMBER",
        "authorized_official_telephone_number": "602-375-8646",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Joseph Jacofsky, M.D.
• Simon Pedro Jacquez, PA
• Jacquie Jensen, MSW, Lisac
• Jade Health and Wellness LLC
• Caroline Jadlowiec, M.D.
• Jennifer Lee Jaeckel, LICSW
• Carolyn Jaedecke
• Erin Jaeger, LPC
• Thomas A Jaeger, PHARMD
• Jaeha Song DPM PLLC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.