Kellvan J Cheng, DPM, PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1763 Issued in TX

Legal business name

KELLVAN J CHENG, DPM, PA

Doing business as

Elite Foot & Ankle

Practice address

4222 Trinity Mills Road
112
Dallas, TX 75287-7603

Phone

(214) 710-1028

Fax

(214) 710-1029

NPI assigned

Aug 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kellvan J Cheng, DPMNPI 1538187067

Title

Foot & Ankle Surgeon / President

Phone

(214) 710-1028

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elite Foot & Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Kellvan J Cheng, DPM

  • Foot & Ankle Surgery Podiatrist
  • Carrollton, TX
  • NPI 1538187067
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1134352289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 TRINITY MILLS ROAD",
            "address_2": "112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877603",
            "telephone_number": "214-710-1028",
            "fax_number": "214-710-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 TRINITY MILLS ROAD",
            "address_2": "112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877603",
            "telephone_number": "214-710-1028",
            "fax_number": "214-710-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLVAN J CHENG, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "KELLVAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOOT & ANKLE SURGEON / PRESIDENT",
        "authorized_official_telephone_number": "214-710-1028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0042SV",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7127822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelling Plastic Surgery, P.a. (Kelling Plastic Surgery)
• Joseph Anthony Kelling, MD
• Lauren Elisabeth Kelling, NP
• Lara Kellogg, DDS
• Zachary Kellum, DPT
• Kelly Jameson, PHD
• Kelly L Wimberly MD PA
• Alexandrea Catherine Kelly
• Asya Rojae Kelly
• Aubrey Kelly, OTR

• Foot & Ankle Surgery Podiatrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.