Organization Active NPI

Jayna L. Chung, D.D.S.

  • Dentist
  • Kaneohe, HI
National Provider Identifier
1861901704
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT1699 Issued in HI
Legal business name
JAYNA L. CHUNG, D.D.S.
Practice address
46-001 Kamehamcha Hwy Suite 418
Kaneohe, HI 96744
Phone
(808) 236-0216
Fax
(808) 236-7048
NPI assigned
Sep 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jayna Lei Chung, D.D.S
Title
Owner
Phone
(808) 236-0216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DT1699 HI Primary

Addresses

Primary practice location

46-001 Kamehamcha Hwy Suite 418
Kaneohe, HI 96744

Mailing address

46-001 Kamehamcha Hwy Suite #418
Kaneohe, HI 96744
Phone (808) 236-0216

National Provider Directory

National Provider Directory

Locations

46-001 Kamehameha Hwy
Ste 418
Kaneohe, HI 96744
Phone (808) 236-0216

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861901704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMCHA HWY SUITE #418",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "96744",
            "telephone_number": "808-236-0216",
            "fax_number": "808-236-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMCHA HWY SUITE 418",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "96744",
            "telephone_number": "808-236-0216",
            "fax_number": "808-236-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYNA L. CHUNG, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JAYNA",
        "authorized_official_middle_name": "LEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-236-0216",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.