Dr. Jack Koji Chung, DDS
Dr. Jack Koji Chung is a General Practice Dentistry provider (Dentist) practicing in Travis Afb, CA, registered in the NPPES registry with NPI 1780665638 since 2005. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780665638 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jack Koji Chung |
| Credential | DDS |
| Sex | Male |
| Practice address | 60 MDG/SGDD, 101 BODIN CIRCLE, Travis Afb, CA, 94535 |
| Phone | 7074237000 |
| Enumeration date | 2005-11-08 |
| Last updated in NPPES | 2025-08-12 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 019026052 | IL |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Jack Chung, DDS NPI: 1780665638 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 60 MDG/SGDD, 101 BODIN CIRCLE, Travis Afb, CA, 94535
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023003183 | Teresa Reeves | Individual | Oral and Maxillofacial Radiology Dentistry | Travis Afb, CA |
| 1134110877 | Son Vu | Individual | General Practice Dentistry | Travis Afb, CA |
| 1376036665 | Emillie Brandt | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Travis Afb, CA |
Verify this record
Cross-check NPI 1780665638 against the authoritative CMS record: view Dr. Jack Koji Chung on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-12.