NICOLE CHUNG (NPI# 1811249139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811249139 |
| Entity Type | Individual |
| Full Name | NICOLE CHUNG |
| Credential | DMD |
| Practice Address |
5145 Marquette Ave San Bernardino CA 92407-4623 |
| Practice Telephone | 9099133429 |
| Mailing Telephone | 9099133429 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2015-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
63418 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235590 | Nicole Chung | Occupational Therapist | 17501 Sw 84th Ct, Palmetto Bay, FL 33157-6082 | 2020-08-11 |
| 1992275044 | Nicole S Chung | Acupuncturist | 41887 Hayfield Orchard Way, Aldie, VA 20105-3244 | 2018-12-03 |
| 1548492838 | Nicole F Chung | Psychologist | 582 Market St Ste 601, San Francisco, CA 94104 | 2009-08-20 |
| 1235658980 | Nicole Carolyn Chung | Counselor | 1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651 | 2017-09-13 |
| Street Address |
5145 MARQUETTE AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92407-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
| 1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
| 1619496049 | Portia Monique Jackson | Licensed Vocational Nurse | 1022 Sunbrook Dr., San Bernardino, CA 92407 | 2017-09-18 |
| 1568988467 | Jon Michael Hensley | Behavior Technician | 1638 Windsor Street, San Bernardino, CA 92407 | 2017-08-22 |
| 1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
| 1760927263 | Denkorach Inc | In Home Supportive Care | 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 | 2016-12-20 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1811231384 | Lucindy Thomasina Fuller | Rehabilitation Practitioner | 1265 Kendall Dr, San Bernardino, CA 92407 | 2012-11-21 |
| 1578793337 | Shareela Marie Allen | Social Worker | 6791 N. Ofeila Drive, San Bernardino, CA 92407 | 2009-07-15 |
| 1720239304 | Alejandro Paul Holguin | Social Worker | 6076 Norma Ln, San Bernardino, CA 92407 | 2008-10-01 |
| Find all providers in zip 92407 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235294711 | Timothy Scott Tobias | Dentist | 1849 Commercenter E, Suite A, San Bernardino, CA 92408-3427 | 2006-12-26 |
| 1861576134 | Romulo Lorenzo Deleon | Dentist | 1849 Commercenter East, Suite A, San Bernardino, CA 92408 | 2006-10-24 |
| 1114947108 | David J. Wolfe | Dentist | 1881 Business Center Dr, Suite 7a, San Bernardino, CA 92408-3465 | 2006-07-20 |
| 1548708423 | Debra A. Meadows, Dds Inc | Dentist | 1881 Business Center Drive, Suite 7a, San Bernardino, CA 92408-3465 | 2017-02-10 |
| 1770931065 | Parth Shailesh Karia | Dentist | 4168 N Sierra Way, San Bernardino, CA 92407-3819 | 2016-05-27 |
| 1902937311 | Debra A Meadows | Dentist | 2015b N Waterman Ave, San Bernardino, CA 92404-4834 | 2007-03-08 |
| 1487768743 | Bao Lou Nguyen | Dentist | 2150 N Waterman Ave, Ste 103, San Bernardino, CA 92404-4811 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92407 |
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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.