- Practice location
- 17895 NW Evergreen Pkwy #130, Beaverton, OR 97006
- Phone
- 503-531-8844
- Fax
- 503-466-9067
- Last updated
- July 8, 2007
John Dong Bok Chung is a Dentist, General Practice based in Beaverton, OR. John Dong Bok Chung practices in Beaverton, OR and has the professional credentials of DDS. The NPI Number for John Dong Bok Chung is 1164644084 and holds a License No. D6995 (OR). The current practice location address for John Dong Bok Chung is 17895 NW Evergreen Pkwy #130, Beaverton, OR 97006 and can be reached out via phone at 503-531-8844 and via fax at 503-466-9067.
Provider Profile Details
- NPI Number
- 1164644084
- Provider Name
- John Dong Bok Chung
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17895 NW Evergreen Pkwy #130, Beaverton, OR 97006
- Phone Number
- 503-531-8844
- Fax Number
- 503-466-9067
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17895 NW Evergreen Pkwy #130
Beaverton, OR 97006 - City
- Beaverton
- State
- Oregon
- Zip
- 97006
- Phone Number
- 503-531-8844
- Fax Number
- 503-466-9067
Provider Business Mailing Address Details
- Address
- 17895 NW Evergreen Pkwy #130
Beaverton, OR 97006 - City
- Beaverton
- State
- OR
- Zip
- 97006
- Phone Number
- 503-531-8844
- Fax Number
- 503-466-9067
License Information
- License Number
- D6995
- License State
- OR
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. John D Chung, DDS?
The NPI number of Dr. John D Chung, DDS is 1164644084. It was assigned on May 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. John D Chung, DDS?
Dr. John D Chung, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D6995.
Where does Dr. John D Chung, DDS practice?
The practice location is 17895 NW Evergreen Pkwy #130, Beaverton, OR 97006. The office can be reached at 503-531-8844 (phone) or 503-466-9067 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164644084 directly on the NPPES registry website.