Lee Chung, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29076 Issued in TX

Practice address

7431 NW Loop 410 Ste 105
San Antonio, TX 78245-3597

Phone

(210) 680-0553

Fax

(210) 680-0593

NPI assigned

Jun 14, 2013

Last updated

Dec 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lee Chung DDS PA

  dba Dental Place

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1740062652
  NPD Authorized official

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1871932624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 NW LOOP 410 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453597",
            "telephone_number": "210-680-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 NW LOOP 410 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453597",
            "telephone_number": "210-680-0553",
            "fax_number": "210-680-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331400702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yong-Hee Patricia Chun, DDS, MS, PHD
• Choon Chung, D.D.S
• Corey Chung
• Hung Chung, MD
• Hyun Joo Chung, O.D.
• Patricia Shing Chung, M.D.
• Preston Van Chung
• Sebi Chung, O.D.
• Sunkyung Chung, LPC
• Sydney Dayoung Chung

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.