Active NPI
Frederick Cheung
- Orthodontics and Dentofacial Orthopedics Dentistry
- Worcester, MA
National Provider Identifier
1093914061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN1855388
- Practice address
- 10 Winthrop St
#210
Worcester, MA 01604-4435 - Phone
- (508) 755-2207
- NPI assigned
- Jul 11, 2007
- Last updated
- Jun 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN1855388 | MA | Primary |
Addresses
Primary practice location
10 Winthrop St
#210
Worcester, MA 01604-4435
Mailing address
10 Winthrop St
#210
Worcester, MA 01604-4435
Phone (508) 755-2207
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1855388 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1093914061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WINTHROP ST",
"address_2": "#210",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044435",
"telephone_number": "508-755-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WINTHROP ST",
"address_2": "#210",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044435",
"telephone_number": "508-755-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEUNG",
"first_name": "FREDERICK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "DN1855388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.