JEANNIE CHUNG, DDS, MS, INC (NPI# 1457404592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457404592 |
| Entity Type | Organization |
| Organization Name | JEANNIE CHUNG, DDS, MS, INC |
| Other Organization Name | RONALD K. FUJITAKI, DDS, MS |
| Practice Address |
39055 Hastings St Suite 104 Fremont CA 94538-1518 |
| Practice Telephone | 5107949954 |
| Practice Fax Number | 5107941796 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2011-12-14 |
| Authorized Official Name | JEANNIE CHUNG (PRESIDENT) |
| Authorized Official Telephone | 5107949954 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
38284 | CA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
37538 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Ronald K. Fujitaki, DDS, MS | Other Name - Individual/Organization |
| Street Address |
39055 HASTINGS ST SUITE 104 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144296807 | Insight Health Corp | Physiological Laboratory | 39055 Hastings St, Ste 106a, Fremont, CA 94538-1426 | 2006-02-23 |
| 1740648674 | Swapna Raveendranath Dental Corporation | Health Maintenance Organization | 39055 Hastings St, Suite 203, Fremont, CA 94538-1518 | 2016-02-06 |
| 1407250798 | Connections A Counseling Center | Psychologist | 39055 Hastings St, Suite 106, Fremont, CA 94538-1518 | 2014-10-15 |
| 1245594449 | Guardian Home Health Care & Hospice, Inc | Hospice Care, Community Based | 39055 Hastings St, Suite 202 B, Fremont, CA 94538-1518 | 2012-07-02 |
| 1265701528 | Jeannie Chung | Dentist | 39055 Hastings St, Suite 104, Fremont, CA 94538-1518 | 2011-12-15 |
| 1578732582 | Swapna Raveendranath | Dentist | 39055 Hastings St, Suite 203, Fremont, CA 94538-1518 | 2008-02-23 |
| 1780745000 | Roland G. Chew | Dentist | 39055 Hastings St, Suite 203, Fremont, CA 94538-1518 | 2006-12-12 |
| 1386608065 | Mimi Chen Wun Lin | Specialist | 39055 Hastings St, 106a, Fremont, CA 94538-1518 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992943716 | Huei-ling Chang | Dentist | 4988 Pase Padre Parkway, #204, Fremont, CA 94555 | 2009-02-02 |
| 1356495063 | Hwa-ying Wang | Dentist | 39201 State St Ste 215, Fremont, CA 94538-1437 | 2007-01-22 |
| 1770648842 | Stephen E Cellier | Dentist | 325 S Park Ave, Fremont, OH 43420-2972 | 2006-12-27 |
| 1427061811 | Alan M Lieberman | Dentist | 3805 Beacon Ave, Suite C, Fremont, CA 94538-1464 | 2006-08-15 |
| 1982633343 | Hooshang Kashani | Dentist | 40803 Fremont Blvd, Fremont, CA 94538-4306 | 2006-06-30 |
| 1265701528 | Jeannie Chung | Dentist | 39055 Hastings St, Suite 104, Fremont, CA 94538-1518 | 2011-12-15 |
| 1306129192 | Ronald Fujitaki | Dentist | 3805 Beacon Ave, Ste C, Fremont, CA 94538-1464 | 2011-09-28 |
| 1376851014 | Abida T Cheema | Dentist | 43625 Mission Blvd, #105 Aarish Dental, Fremont, CA 94539-5852 | 2010-09-15 |
| 1700030541 | Alan M. Lieberman, D.d.s., Apc | Dentist | 3805 Beacon Ave, Suite C, Fremont, CA 94538-1464 | 2008-11-06 |
| 1528156809 | Sudabeh Z Moavenian | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2006-10-11 |
| Find all providers in FREMONT | ||||
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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.