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JENNIFER PHUONG CHUNG DMD
NPI 1457838658
Dentist in Nipomo, CA

Active since July 20, 2018PECOS Enrolled
150 TEJAS PL, NIPOMO, CA 93444(805) 929-3254(805) 931-2569 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2024, Jul 20, 2018 (2 updates tracked since 2018).

About Jennifer Phuong Chung Dmd NPPES

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

JENNIFER PHUONG CHUNG DMD (NPI 1457838658) is an individual dentist in Nipomo, California, licensed in California (102576) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vista.

NPPES Registry Identity

NPI1457838658
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJENNIFER PHUONG CHUNGCredential: DMD
Location Address150 TEJAS PLNipomo, CA 93444-9123
Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8028 · Fax (805) 361-8097
Phone(805) 929-3254
Fax(805) 931-2569
Sole ProprietorNo
Enumeration DateJuly 20, 2018
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1457838658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 102576
Definition
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.
150 TEJAS PL, Nipomo, CA 93444
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Secondary Practice Location 1

Location 11000 Vale Terrace DrVista, CA 92084-5218 · Phone (760) 631-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Phuong 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 93444 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY L BONENFANT
Dental Hygienist
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 938-0935
PATTI A HAMERNIK M.D.
Pediatrics
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3211
ROBERT ALAN REED PHARMD
Pharmacist
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 270-1801
MR. DONALD EDWARD CASEBOLT NURSE PRACTITIONER
Nurse Practitioner (Family)
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3211
HENRY LEE M.D
Psychiatry & Neurology (Neurology)
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 938-0935
CHCCC COMMUNITY HEALTH CENTER PHARMACY OF THE CENTRAL COAST
Pharmacy (Clinic Pharmacy)
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 270-1800
CHC
Health Maintenance Organization
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3254
DR. RAJ BHUPENDRA LOTWALA DDS
Dentist
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 931-2653

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 Jennifer Chung's NPI number?

The NPI number for Jennifer Chung is 1457838658. It was assigned to this individual provider in the NPPES registry on July 20, 2018.

Where is Jennifer Chung located?

Jennifer Chung practices at 150 Tejas Pl, Nipomo, CA 93444. The listed phone number is (805) 929-3254.

What is Jennifer Chung's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jennifer Chung enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Chung was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.