Christine a. Cheng MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

CHRISTINE A. CHENG MD PC

Practice address

415 Medical Dr Ste D102
Bountiful, UT 84010-8906

Phone

(801) 298-9774

Fax

(801) 298-9611

NPI assigned

Dec 16, 2019

Organization subpart

No

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

Authorized official

Name

Christine A Cheng, MDNPI 1306848338

Title

MD

Phone

(801) 298-9774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine A Cheng, MD

  • Plastic Surgery Physician
  • Bountiful, UT
  • NPI 1306848338
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1073151536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE D102",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108906",
            "telephone_number": "801-298-9774",
            "fax_number": "801-298-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE D102",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108906",
            "telephone_number": "801-298-9774",
            "fax_number": "801-298-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE A. CHENG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "801-298-9774",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark E Christian, MD
• Courtnie Christiansen, MSW
• Dallin Clead Christiansen
• Devin Luke Christiansen, DMD
• Kevin Christiansen
• Christopher S English MD PC
• Wendy Chu Tandar, DMD
• Caitlin Tonia Clark, BCBA
• Kevin N Clark, MD
• Tanner Clark, DC

• Plastic Surgery Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Plastic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.