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Dr. Justin Tony Chung , DDS

Dentist β€’ Stanton, CA

Active NPI 1093905481 Individual Practitioner Male Practitioner
Practice location in NPPES

12362 Beach Blvd Ste 10
Stanton, CA 906803944

Call 7142489500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Telephone 7142489500
Fax 7146224943
Organization at the Same NPPES Address or Phone
Livingstone Community Development Corporation Facility NPI 1952662686

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Stanton and California

10 active clinicians are listed under Dentist with a practice address in Stanton, CA (14,738 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES CA 56138

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Anna Jang , FNP

Nurse Practitioner - Family

NPI 1184340333

Family Nurse Practitioner

Heejin Kim , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1184242976

NURSEPRACTITIONER

Dr. Wayne Kim , DO

Family Medicine

NPI 1619987054

Doctor of Osteopathic Medicine (D.O.)

Yvett Yoon Kim , FNP

Nurse Practitioner - Family

NPI 1558090498

Family Nurse Practitioner

NPI 1427432756

Doctor of Dental Surgery

Dr. Kyung Park , MD

Psychiatry & Neurology - Neurology

NPI 1942210570

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location September 08, 2022

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

πŸ“
Updated Business Mailing Address September 08, 2022

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

πŸ“
Updated Practice Location June 14, 2019

Registered at UNIT 33301, APO, AE 09012 (Tel: 3145904686)

πŸ“
Updated Business Mailing Address June 14, 2019

Registered at UNIT 33301, APO, AE 09012

βœ…
NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 01, 2017

Registered at 4TH & INNER LOOP ROAD, BLDG 171, FORT IRWIN, CA 92310 (Tel: 7195265537)

πŸ“
Updated Business Mailing Address November 01, 2017

Registered at 4TH & INNER LOOP ROAD, BLDG 171, FORT IRWIN, CA 92310 (Tel: 7195265537)

πŸ‘€
Provider Name / Credentials Updated November 01, 2017

Recorded as JUSTIN CHUNG, D.D.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2017

Dentist (license number reported to NPPES: CA 56138)

βœ…
NPI Profile Active June 29, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 29, 2016

Registered at 1631 WETZEL AGE BLDG 815, US ARMY DENTAL ACTIVITY FORT CARSON, FORT CARSON, CO 80913 (Tel: 7195265537)

πŸ“
Business Mailing Address (Initial Record) June 29, 2016

Registered at 1631 WETZEL AGE BLDG 815, US ARMY DENTAL ACTIVITY FORT CARSON, FORT CARSON, CO 80913 (Tel: 7195265537)

πŸ‘€
Provider Name / Credentials (Initial Record) June 29, 2016

Recorded as JUSTIN CHUNG, D.D.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2016

Dentist (license number reported to NPPES: CA 56138)

🟒
Initial NPI Registration & Enumeration July 31, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093905481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2007
Last Update: September 08, 2022
Sole Proprietor: No

Other Dentists in Stanton

Mailing Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Phone: 7142489500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.