Kounghae Cheon

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021393 Issued in MI

Practice address

1074 Jackson Xing
Jackson, MI 49202-2039

Phone

(517) 841-0000

NPI assigned

Sep 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• D2 Dental of Michigan

  • General Practice Dentistry
  • Jackson, MI
  • NPI 1821420043
  NPD (past)
• Pro Dental Mi 1 PC

  • General Practice Dentistry
  • Jackson, MI
  • NPI 1437986700
  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1962803783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 WHISPERWOOD DR APT 288",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053409",
            "telephone_number": "909-556-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 JACKSON XING",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022039",
            "telephone_number": "517-841-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEON",
        "first_name": "KOUNGHAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Chen, M.D.
• Shin-Yi Chen, MT-BC
• Ian Cheney
• James Cheney, PHARM.D., R.PH.
• Abbey Chenier, RDH
• Cheryl a Colletti DO PLLC
• Ashley Danielle Chesebro, MA, LLPC
• Michael L Chesney, NP
• Savannah Grace Chevalier
• Child Well Counseling, LLC

• General Practice Dentistry in Jackson, MI
• Providers in Jackson, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.