DR. KI YOON CHUNG (NPI# 1740760818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740760818 |
| Entity Type | Individual |
| Full Name | DR. KI YOON CHUNG |
| Credential | DDS |
| Practice Address |
6404 Roosevelt Blvd Philadelphia PA 19149-2943 |
| Mailing Address |
1425 Locust St Unit 8b Philadelphia PA 19102-3834 |
| Practice Telephone | 2152145994 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS040680 | PA | Dental Providers |
| Street Address |
6404 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19149-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810530 | Michael Rosenbaum | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2005-08-31 |
| 1124512157 | Sasha Manchanda | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2018-06-22 |
| 1619258969 | Holly Do Nguyen | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2011-08-31 |
| 1639482011 | Casey Lauren Slaninabrooks | Registered Nurse | 6404 Roosevelt Blvd, Suite 1b, Philadelphia, PA 19149-2943 | 2010-07-14 |
| 1770806887 | The Andante Center, Inc | Clinic/Center | 6404 Roosevelt Blvd, Suite 1d, Philadelphia, PA 19149-2943 | 2010-03-03 |
| 1164750352 | Jacob Richard Orozco | Dentist | 6404 Roosevelt Blvd, 2nd Floor, Philadelphia, PA 19149-2943 | 2009-11-26 |
| 1851550826 | Delligatti & Milewski Orthodontic Group, P.C. | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2008-06-05 |
| 1023276656 | Pediatric Dental Associates Ltd | Dentist | 6404 Roosevelt Blvd, Lower Level, Philadelphia, PA 19149-2943 | 2008-05-30 |
| 1679749550 | Cichetti & Delligatti Orthodontics, P.C. | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2008-05-01 |
| 1104097872 | Abolarin LLC | Dentist | 6404 Roosevelt Blvd, 2nd Floor, Philadelphia, PA 19149-2943 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418948 | Double Care Inc | Clinic/Center | 2900-14 Cottman Ave, Philadelphia, PA 19149 | 2019-07-16 |
| 1710539457 | Xiao Rong Li | Adult Companion | 2900 - 14 Cottman Avenue, Philadelphia, PA 19149 | 2019-07-12 |
| 1154982775 | K Dental LLC | Clinic/Center | 6214 Bustleton Avenue, Philadelphia, PA 19149 | 2019-06-25 |
| 1851950430 | Halo Staffing Agency, LLC | Home Health | 6401 Akron St., Philadelphia, PA 19149 | 2019-06-07 |
| 1518450626 | Family First Home Healthcare LLC | In Home Supportive Care | 1405 Alcott St, Philadelphia, PA 19149 | 2018-06-13 |
| 1992106926 | Elena Semprevivo | Dentist | 2107 Cottman Avenue, Philadelphia, PA 19149 | 2014-09-09 |
| 1518366988 | Abundant Life Home Health Services | Home Health | 6632-46 Bustleton Ave, Philadelphia, PA 19149 | 2014-08-21 |
| 1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
| 1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
| 1790115509 | Norman Huynh | Physical Therapist | 6595 B East Roosevelt Boulevard, Philadelphia, PA 19149 | 2013-11-14 |
| Find all providers in zip 19149 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1023665601 | Holly Gray | Dentist | 1812 Fitzwater St, Philadelphia, PA 19146-1852 | 2019-08-20 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1447743356 | Alexandra Greco | Dentist | 834 Chestnut St Ste M209, Philadelphia, PA 19107-5114 | 2018-06-14 |
| 1952852329 | Hyeran Helen Jeon | Dentist | 240 S. 40th Street, Dental @ Locust Walk, Philadelphia, PA 19104 | 2016-10-20 |
| 1801261524 | Harold Slutsky, D.m.d., P.C. | Dentist | 7100 Frankford Ave, Philadelphia, PA 19135-1009 | 2015-12-07 |
| 1225419658 | Sheila Othman | Dentist | 100 S Broad St Ste 1530, Philadelphia, PA 19110-1026 | 2015-06-11 |
| 1174926752 | Orozcodontics, PC | Dentist | 8705 Germantown Ave, Ste A, Philadelphia, PA 19118-2720 | 2014-09-26 |
| 1588076178 | Hanel Ariel Choi | Dentist | 100 S. Broad St. Suite 1530, Philadelphia, PA 19110 | 2014-05-29 |
| 1790127223 | Jerome H Sklaroff | Dentist | 1919 Chestnut St Apt 1005, Philadelphia, PA 19103-3414 | 2013-07-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19149 |
Please comment or provide details below to improve the information on DR. KI YOON CHUNG.
| 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.