Individual provider Active NPI

Hee Yong Chung, DMD

  • Dentist
  • Cranston, RI
National Provider Identifier
1922838531
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN03816 Issued in RI
Practice address
311 Doric Ave
Cranston, RI 02910-2903
Phone
(401) 467-9610
Fax
(401) 467-9030
NPI assigned
Aug 7, 2024
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN03816 RI Primary

Addresses

Primary practice location

311 Doric Ave
Cranston, RI 02910-2903

Mailing address

100 Mathewson St Apt 413
Providence, RI 02903-1869

Other practice location 1

1090 Cranston St
Cranston, RI 02920-7323
Phone (401) 943-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20251010002285 RI Order and Referring Only - DentistPractitioner - Dentist 1052818374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: heeyong.chung.p1@direct.bvchc.nextgenshare.com
  • Direct secure messaging: heeyong.chung.p2@direct.ebcap.nextgenshare.com
  • Direct secure messaging: heeyong.chung.p3@direct.ccap.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1922838531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MATHEWSON ST APT 413",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 DORIC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102903",
            "telephone_number": "401-467-9610",
            "fax_number": "401-467-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Cranston St",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029207323",
            "country_code": "US",
            "telephone_number": "401-943-1981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HEE YONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.