PETER J CHUNG (NPI# 1831504166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831504166 |
| Entity Type | Individual |
| Full Name | PETER J CHUNG |
| Credential | D.M.D. |
| Practice Address |
1441 Liberty St Redding CA 96001-0811 |
| Mailing Address |
870 Mission Sierra Ct Apt 10 Redding CA 96003-3870 |
| Practice Telephone | 5302261750 |
| Mailing Telephone | (407) 375-9035 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2017-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 100115 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297790 | Peter Chung | Dentist | 653 Rosner Dr, Roselle, IL 60172-2324 | 2018-06-06 |
| 1972884336 | Peter Chung | Surgery | 5372 Starboard St Unit 106, Orlando, FL 32814-6904 | 2011-08-30 |
| 1104056845 | Peter Jeano Chung | Internal Medicine | 266 S Harvard Blvd Ste 340, Los Angeles, CA 90004-4372 | 2009-07-15 |
| 1992952170 | Peter Dongil Chung | Physician Assistant | 6311 Mary Theresa Ct, Hanover, MD 21076-1028 | 2008-08-19 |
| 1831390608 | Peter Howon Chung | Dentist | 20627 Golden Springs Dr. #1a-1b, Diamond Bar, CA 91789 | 2007-05-30 |
| 1720083694 | Peter Kai-wong Chung | Family Medicine | 1470 Halford Ave, # 168, Santa Clara, CA 95051-3205 | 2005-06-16 |
| 1063836393 | Peter Chung | Dentist | 970 Sacramento Ave, West Sacramento, CA 95605-1904 | 2014-02-06 |
| 1750725347 | Peter S. Chung | Internal Medicine | 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 | 2013-04-25 |
| 1700192440 | Peter Seon Chung | Anesthesiology | 41 E Post Rd, White Plains, NY 10601-4607 | 2010-08-19 |
| 1063726719 | Peter K Chung | Dentist | 25610 104th Ave Se, Kent, WA 98030-7610 | 2010-08-04 |
| Street Address |
1441 LIBERTY ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104859354 | Redding Rancheria | Clinic/Center | 1441 Liberty St, Redding, CA 96001-0848 | 2006-07-09 |
| 1275179012 | Jennifer Harmon Boudreaux | Nurse Practitioner | 1441 Liberty St, Redding, CA 96001-0811 | 2019-11-26 |
| 1003384496 | Blake E Lamkin | Dietitian, Registered | 1441 Liberty St, Redding, CA 96001-0811 | 2018-11-05 |
| 1699291591 | Kara Anne Carmona Russell | Social Worker | 1441 Liberty St, Redding, CA 96001-0811 | 2017-08-22 |
| 1255877957 | Tara Mckittrick Braemer | Nurse Practitioner | 1441 Liberty St, Redding, CA 96001-0811 | 2017-01-18 |
| 1093120313 | Ann Nguyen-chung | Dentist | 1441 Liberty St, Redding, CA 96001-0811 | 2014-06-25 |
| 1124432505 | Michelle Drobny | Family Medicine | 1441 Liberty St, Redding, CA 96001-0811 | 2014-06-13 |
| 1013342419 | Melanie Anne Catalano | Physician Assistant | 1441 Liberty St, Redding, CA 96001-0811 | 2013-09-05 |
| 1194063149 | Gavin Patrick Moloney | Dietitian, Registered | 1441 Liberty St, Redding, CA 96001-0848 | 2013-01-25 |
| 1467799684 | Brittney Ann Chrisler | Pharmacist | 1441 Liberty St, Redding, CA 96001-0848 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| 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 |
|---|---|---|---|---|
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1689148215 | Western Dental Services, Inc. | Dentist | 1667 Hilltop Dr Ste E, Redding, CA 96002-0240 | 2019-01-16 |
| 1821520123 | Cass Family Dentistry | Dentist | 3320 Churn Creek Rd, Redding, CA 96002-2525 | 2017-03-28 |
| 1629467113 | Ann Malotky, Dds., Inc. | Dentist | 1800 Buenaventura Blvd, Suite 100, Redding, CA 96001-3700 | 2015-01-21 |
| 1760891543 | Li Min Hou, Dds, A Professional Corporation | Dentist | 1627 Hilltop Dr, Suite A, Redding, CA 96002-0252 | 2014-08-06 |
| 1568870723 | Rachel Lauren Barnhart | Dentist | 2190 Larkspur Ln Ste 100, Redding, CA 96002-0636 | 2014-07-31 |
| 1801145248 | Jessica Lee | Dentist | 1635 Pleasant St, Redding, CA 96001-2330 | 2012-08-30 |
| 1174803308 | Eric Howard Frederiksen | Dentist | 6640 Waterford Dr, Redding, CA 96001 | 2011-08-19 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1912298431 | Western Dental Services, Inc | Dentist | 1310 Churn Creek Rd, Suite E3 - E4, Redding, CA 96003-4004 | 2011-05-02 |
| Find all providers in REDDING | ||||
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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.