Jennifer Chun, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1001780-15 Issued in WI

Practice address

100 River PL Ste 110
Monona, WI 53716

Phone

(608) 222-6160

NPI assigned

Dec 2, 2010

Last updated

Dec 6, 2018By the provider in NPPES

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

Other identifiers 1

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

• Madison Pediatric Dental, SC

  • Pediatric Dentistry
  • Madison, WI
  • NPI 1538230966
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1982906525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER PL",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164041",
            "telephone_number": "585-512-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER PL STE 110",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "53716",
            "telephone_number": "608-222-6160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 River Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537164027",
            "country_code": "US",
            "telephone_number": "608-222-6160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 River Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537164027",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 River Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537164027",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 River Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537164027",
            "country_code": "US",
            "telephone_number": "608-222-6160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 River Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537164027",
            "country_code": "US",
            "telephone_number": "608-222-6160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1914 Rowley Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537264128",
            "country_code": "US",
            "telephone_number": "585-512-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "1001780-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982906525",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylin Marie Chiolino, DPT
• Cho LLC
• Rebekah J Cho
• Jaehyung Choi, PHARMD
• Seton M Christenson-Houg, PA-C
• City of Monona (City of Monona Ambulance)
• Clear Minds Health Group of Arizona PLLC
• Derek E Clevidence, MD, PHD
• Caitlin Mary Clifford, LPC-IT, ATR-P
• Katy Anna Coggins, MD

• Pediatric Dentistry in Monona, WI
• Providers in Monona, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.