Individual provider Active NPI

Christopher H Chuong

  • General Practice Dentistry
  • Flower Mound, TX
National Provider Identifier
1861248080
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42402 Issued in TX
Practice address
811 International Pkwy Ste 420
Flower Mound, TX 75022-4281
Phone
(972) 346-1100
NPI assigned
Apr 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044679 PA
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 42402 TX Primary

Addresses

Primary practice location

811 International Pkwy Ste 420
Flower Mound, TX 75022-4281

Mailing address

811 International Pkwy Ste 420
Flower Mound, TX 75022-4281
Phone (972) 346-1100

Other practice location 1

111 S Independence Mall E Ste 610
Philadelphia, PA 19106-2509
Phone (215) 238-0800

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

LicenseStateTypeSpecialty
DS044679PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Society Hill Family Dentistry CurrentSince May 7, 2024 Accepting new patients

Locations

111 S Independence Mall E
Ste 610
Philadelphia, PA 19106
Phone (215) 238-0800

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.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1861248080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 INTERNATIONAL PKWY STE 420",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224281",
            "telephone_number": "972-346-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 INTERNATIONAL PKWY STE 420",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224281",
            "telephone_number": "972-346-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Independence Mall E Ste 610",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191062509",
            "country_code": "US",
            "telephone_number": "215-238-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044679",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.