Ava Chung, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

63177 Issued in CA

Practice address

12455 Victoria Gardens LN Ste 190
Rancho Cucamonga, CA 91739-7534

Phone

(909) 646-3057

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hsieh and Ghazal Dental Corporation

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1265615066
  NPD (past)

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1841687571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7078 FREESIA CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808920",
            "telephone_number": "626-400-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 VICTORIA GARDENS LN STE 190",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917397534",
            "telephone_number": "909-646-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "AVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "63177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Chu, PT, DPT
• Marcelina Chua
• Vivian C Chukwuocha
• Jenny Daeun Chun
• Amanda Chung
• Daniel Chung, PSY.D.
• Susan Lee Chung, D.D.S.
• Ya-Wei Chung
• Julia N Cianchetti, RBT
• Cinderella'S Closet Your Specialty Lingerie Boutique

• Pediatric Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.