Darrell Scott Chun, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

39773 Issued in CA

Practice address

9381 E. Stockton Blvd
Suite 228
Elk Grove, CA 95624

Phone

(916) 691-1188

Fax

(916) 691-1122

NPI assigned

Oct 27, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Darrellschundds Professional Corporation

  • Dental Clinic/Center
  • Elk Grove, CA
  • NPI 1568884740
  NPD (past) Authorized official
• Darrell S Chun DDS and Vinh Vo DDS

  • General Practice Dentistry
  • Elk Grove, CA
  • NPI 1568331395
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891871216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9381 E. STOCKTON BLVD",
            "address_2": "SUITE 228",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624",
            "telephone_number": "916-691-1188",
            "fax_number": "916-691-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9381 E. STOCKTON BLVD",
            "address_2": "SUITE 228",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624",
            "telephone_number": "916-691-1188",
            "fax_number": "916-691-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "DARRELL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Dionne Christian
• Christine N Lee DMD a Professional Dental Corporation
• Christy K. Rollofson, DDS, Inc
• Lok Chu, RD
• Michael Chu, DDS
• Heidi Chung
• Marisa Alice Ciani, MSW
• Vanessa Cid Martinez
• Oscar Destin Sage Cierra
• Angela Cioli

• Dentist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.