Individual provider Active NPI

David Chung, DDS

  • General Practice Dentistry
  • N Las Vegas, NV
National Provider Identifier
1962505875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4274 Issued in NV
Practice address
6885 Aliante Pkwy.
111
N. Las Vegas, NV 89084
Phone
(702) 515-1888
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4274 NV Primary

Addresses

Primary practice location

6885 Aliante Pkwy.
111
N. Las Vegas, NV 89084

Mailing address

6885 Aliante Pkwy.
111
N. Las Vegas, NV 89084
Phone (702) 515-1888

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
I20150716002331 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0547573735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4274NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David & David LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962505875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 ALIANTE PKWY.",
            "address_2": "111",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89084",
            "telephone_number": "702-515-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 ALIANTE PKWY.",
            "address_2": "111",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89084",
            "telephone_number": "702-515-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.