Chenglong Zhao, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109326 Issued in CA

Practice address

3485 Madison St
Riverside, CA 92504-3716

Phone

(909) 264-0308

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chenglong Zhao DDS Inc

  dba Ashore Dental Care

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1619831666
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1063290575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7679 ROTUNDA CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070111",
            "telephone_number": "909-264-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 MADISON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043716",
            "telephone_number": "909-264-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "CHENGLONG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Ying Zhang, DO
• Viona X Zhang, MD
• Xiaoyan Zhang, OTR/L
• Xin Zhang, MD
• Zhenyu Zhang, M.S., AMFT
• Jasmine Zhao
• Jerry X Zhao, MD
• Kevin Zhao, MD
• Yang Zhao
• Yili Zhao

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.