Nicole Chung DMD Endodontic Dental Practice

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NICOLE CHUNG DMD ENDODONTIC DENTAL PRACTICE

Doing business as

Five Cities Endodontics

Practice address

143 S Mason St
Arroyo Grande, CA 93420-3312

Phone

(909) 913-3429

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Chung, DMDNPI 1811249139

Title

Ceo/Owner

Phone

(909) 913-3429

Specialties & licenses 1

Addresses

Other names 1

• Five Cities Endodontics Doing business as

Locations

Practitioners 1

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

• Nicole Chung, DMD

  • Endodontics
  • Arroyo Grande, CA
  • NPI 1811249139
  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1902528672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 TARRAGON LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017264",
            "telephone_number": "909-913-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S MASON ST",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203312",
            "telephone_number": "909-913-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE CHUNG DMD ENDODONTIC DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-913-3429",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Cities Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neuropathways Consulting and Psychological Services
• Neurowell Medical Group
• Thomas Newell, ATC
• Bryn Vinh Nguyen, PHARMD
• Nickolas Grimes, DPM, Professional Corporation
• Laura Niedringhaus, PHD
• Louis Nitsos
• Nolan T. Higa, MD, Inc.
• Mallory Noonan, DC
• Normal Life of California, Inc. (Farroll Home)

• Dental Clinic/Center in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.