Individual provider Active NPI

Joseph Tzu-Shuo Cheng

  • Pediatric Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1073668620
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
43524 Issued in CA
Practice address
8209 Rochester Ave
#101
Rancho Cucamonga, CA 91730-0743
Phone
(909) 484-9555
Fax
(909) 484-9730
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 43524 CA Primary

Addresses

Primary practice location

8209 Rochester Ave
#101
Rancho Cucamonga, CA 91730-0743

Mailing address

8209 Rochester Ave Ste 101
Rancho Cucamonga, CA 91730-0744
Phone (909) 484-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph T Cheng DDS Inc Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1073668620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8209 ROCHESTER AVE STE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300744",
            "telephone_number": "909-484-9555",
            "fax_number": "909-484-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8209 ROCHESTER AVE",
            "address_2": "#101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300743",
            "telephone_number": "909-484-9555",
            "fax_number": "909-484-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "JOSEPH",
        "middle_name": "TZU-SHUO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "43524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.