Individual provider Active NPI

Yi Ting Cheng, DDS

  • General Practice Dentistry
  • Monterey Park, CA
National Provider Identifier
1093847386
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41820 Issued in CA
Practice address
516 W Garvey Ave
Monterey Park, CA 91754-2704
Phone
(626) 576-5933
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41820 CA Primary

Addresses

Primary practice location

516 W Garvey Ave
Monterey Park, CA 91754-2704

Mailing address

231 W Lemon Ave
Arcadia, CA 91007-8032
Phone (626) 215-0255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315001255 CA Order and Referring Only - DentistPractitioner - Dentist 3274759626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41820CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dat-Minh DO DDS Professional Dental Corp General Practice Past Accepting new patients
Dat-Minh DO DDS Professional Dental Corp General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yitingdds.cheng@hchcla.eclinicaldirectplus.com

Organizations & group practices 2

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1093847386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W LEMON AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078032",
            "telephone_number": "626-215-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W GARVEY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542704",
            "telephone_number": "626-576-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "YI",
        "middle_name": "TING",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.