Active NPI
NA Eun Chung Grimes, DMD
- Periodontics
- North Dartmouth, MA
National Provider Identifier
1831754100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN1860048
- Practice address
- 1379 Tucker Rd
North Dartmouth, MA 02747-3152 - Phone
- (508) 993-9105
- NPI assigned
- May 2, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN1860048 | MA | Primary |
Addresses
Primary practice location
1379 Tucker Rd
North Dartmouth, MA 02747-3152
Mailing address
1379 Tucker Rd
North Dartmouth, MA 02747-3152
Phone (714) 308-9413
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 |
|---|---|---|---|
| 103117 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NA Eun Chung D.M.D. Inc. | Dentist | Current | Accepting new patients |
Locations
3123 W Olympic Blvd
Los Angeles, CA 90006
Phone (213) 487-5961
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.
-
- Dentist
- Los Angeles, CA
- NPI 1093314239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1831754100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1379 TUCKER RD",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "027473152",
"telephone_number": "714-308-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1379 TUCKER RD",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "027473152",
"telephone_number": "508-993-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMES",
"first_name": "NA EUN",
"middle_name": "CHUNG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DN1860048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.