DR. JAE WOO CHUNG (NPI# 1568662146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568662146 |
| Entity Type | Individual |
| Full Name | DR. JAE WOO CHUNG |
| Credential | DDS |
| Practice Address |
1395 E Warner Rd Ste. 105c Gilbert AZ 85296-3160 |
| Practice Telephone | 4805580212 |
| Practice Fax Number | 4805580216 |
| Mailing Telephone | 4805580212 |
| Mailing Fax Number | 4805580216 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7319 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290144 | Jae Kul Chung | Dentist | 61325 29 Palms Hwy, Joshua Tree, CA 92252-1912 | 2019-11-18 |
| 1558746057 | Jae Chung | Chiropractor | 424 E 147th St Fl 2, Bronx, NY 10455-4104 | 2015-07-25 |
| 1346306396 | Jae Yon Chung | Dentist | 1570 S Western Ave, #201, Los Angeles, CA 90006-5829 | 2006-12-27 |
| 1629071840 | Jae W Chung | Specialist | 1 Guthrie Dr, Corning, NY 14830-3696 | 2005-05-23 |
| 1265937965 | Jae K Chung | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Internal Medicine, Albany, NY 12208 | 2018-03-26 |
| 1346636636 | Jae Chung | Student in an Organized Health Care Education/Training Program | D-3100 Medical Ctr N, Nashville, TN 37232-2358 | 2015-04-13 |
| 1184053662 | Jae Hwan Chung | Nurse Practitioner | 520 S Virgil Ave Ste 507, Los Angeles, CA 90020-1452 | 2013-11-05 |
| 1720296767 | Jae Bock Chung | Acupuncturist | 780 Regent Street, Suite #301, Madison, WI 53715 | 2007-05-21 |
| 1346390408 | Jae Sung Chung | Family Medicine | 9470 Annapolis Rd, 306, Lanham, MD 20706-3025 | 2007-01-11 |
| Street Address |
1395 E WARNER RD STE. 105C |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-3160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992724173 | Amir Michael Etebari | Dentist | 1395 E Warner Rd, Ste # 105c, Gilbert, AZ 85296 | 2006-07-19 |
| 1922278506 | Michael W Abromovitz Dc LLC | Chiropractor | 1395 E Warner Rd, Ste. C102, Gilbert, AZ 85296-3160 | 2008-03-10 |
| 1124227418 | Michael Walden Abromovitz | Chiropractor | 1395 E Warner Rd, Ste. C102, Gilbert, AZ 85296-3160 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362745 | Tracy Gerona | Dentist | 2885 E Weather Vane Rd, Gilbert, AZ 85296-9447 | 2020-07-01 |
| 1194363069 | Precision Dental Center Pllc | Dentist | 3885 S Val Vista Dr Ste 106, Gilbert, AZ 85297-7314 | 2019-12-11 |
| 1659863975 | Jonathan J Zuniga | Dentist | 33 N Lindsay Rd Ste 101, Gilbert, AZ 85234-5808 | 2018-06-01 |
| 1285172551 | Premier Family Dental Holdings LLC | Dentist | 3050 E Chandler Heights Rd, Ste 105, Gilbert, AZ 85290 | 2017-02-07 |
| 1710435490 | Daniel Masters | Dentist | 875 N Greenfield Rd Ste 114, Gilbert, AZ 85234-5044 | 2016-09-12 |
| 1629426507 | Progressive Sleep & Wellness Pllc | Dentist | 3303 E Baseline Rd Ste 105, Gilbert, AZ 85234-2739 | 2016-06-01 |
| 1861860488 | Gilbert Dental Professionals | Dentist | 110 S Val Vista Dr, Suite B-7, Gilbert, AZ 85296-1373 | 2015-09-14 |
| 1881076370 | Brodie Cook | Dentist | 3558 E Windsor Dr, Gilbert, AZ 85296-7397 | 2015-06-22 |
| 1427439405 | Adam Proctor | Dentist | 3338 E Sheffield Rd, Gilbert, AZ 85296-7384 | 2015-06-15 |
| 1649601014 | Fulcher Dental Plc | Dentist | 1166 S Gilbert Rd Ste 117, Gilbert, AZ 85296-3462 | 2013-12-10 |
| Find all providers in GILBERT | ||||
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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.