P Praxis·MD
● Active Type 1 · Individual

Changhyun Jung, DDS

Dentist·Austin, TX· NPI 1508451063 · Enumerated 2021 · 5 years on NPI
Jung is 1 of 740 dentist providers in Austin and 1 of 15661 in Texas.
NPI age
5 years
Enumerated 2021-03-06
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-01-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 15661 active dentist providers in Texas.

NPI age
5 years
↓ 9 yr below median (14 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
3724 Jefferson St Ste 100
Austin, TX 787316219
📞 5124524661
Mailing address
107 Vailco Ln
Austin, TX 787386565
📞 8058355134

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1761 Broadway St
Vallejo, CA 945892226
📞 7076437885

Specialties

  • Dentist Primary
    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.
    TX license #36971 taxonomy 1223G0001X
  • Clinic/Center
    Definition to come...
    CA license #1005932 taxonomy 261QD0000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 9 new dentist providers have been added in Austin in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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