Individual provider Active NPI

Vivian W Cheng, D.M.D

  • General Practice Dentistry
  • Milpitas, CA
National Provider Identifier
1144365800
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53506 Issued in CA
Practice address
460 E. Calaveras Blvd
Milpitas, CA 95035
Phone
(925) 600-0065
Fax
(925) 600-1005
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 53506 CA Primary

Addresses

Primary practice location

460 E. Calaveras Blvd
Milpitas, CA 95035

Mailing address

460 E. Calaveras Blvd
Milpitas, CA 95035
Phone (925) 600-0065

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

LicenseStateTypeSpecialty
53506CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian W Cheng, DMD, Professional Corporation General Practice CurrentSince Oct 27, 2019 Accepting new patients

Locations

460 E Calaveras Blvd
Milpitas, CA 95035
Phone (408) 263-4443

5460 Sunol Blvd
Ste 5
Pleasanton, CA 94566
Phone (925) 880-8400

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1144365800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E. CALAVERAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "95035",
            "telephone_number": "925-600-0065",
            "fax_number": "925-600-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E. CALAVERAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "95035",
            "telephone_number": "925-600-0065",
            "fax_number": "925-600-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "VIVIAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.