Fred K Cheung, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

06051 Issued in IA

Practice address

1645 John F Kennedy Road
Dubuque, IA 52002-5107

Phone

(563) 556-6383

Fax

(563) 556-0461

NPI assigned

Oct 2, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Fred K Cheung DDS, PC

  dba Dubuque Pediatric Dentistry

  • Pediatric Dentistry
  • Dubuque, IA
  • NPI 1689001562
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154415651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 JOHN F KENNEDY ROAD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025107",
            "telephone_number": "563-556-6383",
            "fax_number": "563-556-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 JOHN F KENNEDY ROAD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025107",
            "telephone_number": "563-556-6383",
            "fax_number": "563-556-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "FRED",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "06051",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "2576-015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33414200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159517",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ellen Chalmers Bartlett, PH.D.
• Ana Chamorro, MS, CFY-SLP
• Michael Paul Chapman, M.D.
• Ryan Michael Chatfield, MS
• Nelson H Chesney, M.D.
• Chirocare Plus PC
• Chiropractic First PC
• Chiropractic Rehab Center, PC
• Chloe Heberlein, PLLC
• Injun William Chong

• Pediatric Dentistry in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.