JIN CHUNG (NPI# 1073970778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073970778 |
| Entity Type | Individual |
| Full Name | JIN CHUNG |
| Credential | D.D.S. |
| Practice Address |
24307 Southland Dr Hayward CA 94545-1517 |
| Practice Telephone | 5104013314 |
| Mailing Telephone | 7144774388 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 65340 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24307 Southland Dr, Hayward, CA 945451517 | 5104013314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922320605 | Jin H Chung | Pharmacist | 210 S Broadway, Hicksville, NY 11801-5002 | 2010-02-22 |
| 1952582041 | Jin Young Chung | Pediatrics | 901 E Mount Hope Ave, Lansing, MI 48910-3207 | 2007-11-17 |
| 1740207315 | Jin Y Chung | Dentist | 10320 Swift Stream Pl, 103, Columbia, MD 21044-4871 | 2006-07-17 |
| 1790726388 | Jin Baik Chung | Family Medicine | 220 E Main St, New Lebanon, OH 45345-1299 | 2006-06-08 |
| Street Address |
24307 SOUTHLAND DR |
| City | HAYWARD |
| State | CA |
| Zip Code | 94545-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376002634 | Chung Dental Group Inc. | Dentist | 24307 Southland Dr, Hayward, CA 94545-1517 | 2019-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295394476 | Lily Yu | Pharmacist | 3160 Corporate Place, Hayward, CA 94545 | 2019-06-11 |
| 1093285660 | Ana Alvarez | Behavior Technician | 24301 Southland Dr. Ste 410, Hayward, CA 94545 | 2018-11-27 |
| 1992201958 | Jasramin Dillon Chatha | Licensed Vocational Nurse | 23648 Saklan Road, Hayward, CA 94545 | 2018-03-30 |
| 1760985105 | Monika Milda Barta | Student in an Organized Health Care Education/Training Program | 24333 Southland Dr, Hayward, CA 94545 | 2018-03-12 |
| 1003329210 | Brian Anh Lu | Pharmacist | 3121 Diablo Avenue, Hayward, CA 94545 | 2017-11-09 |
| 1528415957 | Aic Health Care, Inc. | Intermediate Care Facility, Mentally Retarded | 27489 Portsmouth Ave, Hayward, CA 94545 | 2016-05-16 |
| 1568889723 | Jenny Tran | Nurse Practitioner | 24700 Calaroga Avenue, Suite 103, Hayward, CA 94545 | 2014-03-26 |
| 1306261573 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1976 Elder Way, Hayward, CA 94545 | 2014-02-25 |
| 1699110130 | Seneca Family of Agencies | Community/Behavioral Health | 26601 Calaroga Ave, Hayward, CA 94545 | 2013-05-09 |
| 1235401530 | Onlyserve, Inc. | Home Health | 3423 Investment Boulevard #1, Hayward, CA 94545 | 2012-02-01 |
| Find all providers in zip 94545 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588021398 | Suong Le Dental Corporation | Dentist | 805 Fletcher Ln, Hayward, CA 94544-1010 | 2016-01-25 |
| 1154793206 | Big Smile Dental Group, PC By Evangeline M. Memoracion D.d.s. | Dentist | 22429 Foothill Blvd, Hayward, CA 94541-4024 | 2015-10-28 |
| 1801288071 | Brian R Fong | Dentist | 21048 Haviland Ave, Hayward, CA 94541-2036 | 2015-02-25 |
| 1376932459 | Eugene Roytman Dmd, Inc | Dentist | 1866 B Street, Hayward, CA 94541 | 2015-01-13 |
| 1871930446 | Tran Villas Dental PC | Dentist | 26775 Hayward Blvd, Ste P, Hayward, CA 94542-2082 | 2013-05-22 |
| 1770862518 | Paulina Janette Del Rio | Dentist | 27724 Bruno St, Hayward, CA 94544-5259 | 2011-08-10 |
| 1013147438 | Jack M. Tsai | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2009-07-20 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1184862187 | Fernando Roberto Soto | Dentist | 25879 Gettysburg Ave, Hayward, CA 94545-2901 | 2009-01-29 |
| 1700030384 | Ali Zadeh | Dentist | 30204 Industrial Pkwy Sw., Hayward, CA 94544 | 2008-11-10 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.