Individual provider Active NPI

Danny Chung, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1922405075
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6573 Issued in NV
Practice address
953 E Sahara Ave
A2
Las Vegas, NV 89104-3005
Phone
(702) 794-0304
NPI assigned
Dec 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6573 NV Primary

Addresses

Primary practice location

953 E Sahara Ave
A2
Las Vegas, NV 89104-3005

Mailing address

953 E Sahara Ave
A2
Las Vegas, NV 89104-3005
Phone (702) 794-0304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20150720001433 NV Order and Referring Only - DentistPractitioner - Dentist 3971816919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1922405075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 E SAHARA AVE",
            "address_2": "A2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043005",
            "telephone_number": "702-794-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 E SAHARA AVE",
            "address_2": "A2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043005",
            "telephone_number": "702-794-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DANNY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.