CHEOLWON CHUNG DMD
NPI 1235622762
Dentist - General Practice in Odessa, TX

Q: What is Cheolwon Chung's NPI number?

The NPI number for Cheolwon Chung is 1235622762. It was assigned to this individual provider in the NPPES registry on June 9, 2018.

Q: What is Cheolwon Chung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Cheolwon Chung was last updated on June 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2018PECOS Enrolled

2631 FAUDREE RD STE B, ODESSA, TX 79765(432) 339-4444 Get Directions Write a Review

NPPES record last updated: June 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cheolwon Chung Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEOLWON CHUNG DMD (NPI 1235622762) is an individual general practice provider in Odessa, Texas, licensed in Texas (34162) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235622762

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCHEOLWON CHUNGCredential: DMD

Location Address2631 FAUDREE RD STE BOdessa, TX 79765-8530

Mailing Address4800 Allendale Rd Apt 1423Houston, TX 77017-5480 · (832) 638-9428

Phone(432) 339-4444

Sole ProprietorNo

Enumeration DateJune 9, 2018

✔ NPI 1235622762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 34162

Definition

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.

2631 FAUDREE RD STE B, Odessa, TX 79765

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cheolwon Chung Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79765 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheolwon Chung's NPI number?

The NPI number for Cheolwon Chung is 1235622762. It was assigned to this individual provider in the NPPES registry on June 9, 2018.

Where is Cheolwon Chung located?

Cheolwon Chung practices at 2631 Faudree Rd Ste B, Odessa, TX 79765. The listed phone number is (432) 339-4444.

What is Cheolwon Chung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Cheolwon Chung enrolled in Medicare?

Yes. Cheolwon Chung is registered in the Medicare PECOS enrollment system.

What insurance does Cheolwon Chung accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Cheolwon Chung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cheolwon Chung was last updated on June 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.