Tony Yatshing Chung, M.D., D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

G069953 Issued in CA

Practice address

14600 Sherman Way
Suite 260
Van Nuys, CA 91405-2283

Phone

(818) 780-2062

Fax

(818) 780-5192

NPI assigned

Sep 16, 2006

Last updated

Jul 8, 2007By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tony Chung,MD,DMD,Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Van Nuys, CA
  • NPI 1619158367
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922104942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY",
            "address_2": "SUITE 260",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-780-2062",
            "fax_number": "818-780-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY",
            "address_2": "SUITE 260",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-780-2062",
            "fax_number": "818-780-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "TONY",
        "middle_name": "YATSHING",
        "name_prefix": "Dr.",
        "credential": "M.D., D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS 11",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "G069953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Chua, LCSW, MSW
• Irene Chuang, M.D.
• Christopher Chung
• Eric Chung
• Helen Hee-Sun Chung, PA
• Church Capital LLC (Medicine Land Pharmacy)
• Joseph Stephen Ciccone, LCSW
• Circle a Pharmacy Inc (Circle a Pharmacy)
• Circle of Hope Home Health Inc
• Circle of Hope Hospice Inc

• Oral and Maxillofacial Surgery (Dentist) in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Oral and Maxillofacial Surgery (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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.