Dr Miriam Chung DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1857812 Issued in MA

Legal business name

DR MIRIAM CHUNG DDS PC

Practice address

1096 Revere Beach Pkwy
Chelsea, MA 02150-1454

Phone

(646) 812-3022

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Miriam Chung, DDS

Title

Ceo

Phone

(646) 812-3022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1902313646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WAYNE AVE APT 19D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104670833",
            "telephone_number": "646-812-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 REVERE BEACH PKWY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501454",
            "telephone_number": "646-812-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MIRIAM CHUNG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-812-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1857812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dobbins, LICSW
• Robin Doherty, RN
• Paul Domigan
• Elaine Donovan
• Rebecca Douarin
• Anne Louise Drake, N.P.
• Arthur Drane, MED
• Jane Ellen Dreskin, MD
• Christine Sigrid Dresp, LICSW
• Pharah Dubuisson Lefevre

• Dental Clinic/Center in Chelsea, MA
• Providers in Chelsea, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.