CHI Carl Cheung DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHI CARL CHEUNG DMD PLLC

Doing business as

Lake Stevens Dental Clinic

Practice address

2012 Grade Rd Ste 201
Lake Stevens, WA 98258-9135

Phone

(425) 334-1934

NPI assigned

Apr 6, 2023

Last updated

Apr 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carl Cheung, DMDNPI 1245540533

Title

Dentist

Phone

(425) 334-1934

Specialties & licenses 1

Addresses

Other names 1

• Lake Stevens Dental Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl Cheung, DMD

  • Dentist
  • Lynnwood, WA
  • NPI 1245540533
  NPD Authorized official
• Fred C Chittenden, DDS

  • Dentist
  • Lake Stevens, WA
  • NPI 1487674966
  NPD (past)

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1174218176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 121ST AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 GRADE RD STE 201",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589135",
            "telephone_number": "425-334-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI CARL CHEUNG DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-334-1934",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Stevens Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Castano
• Darlene Castle, DC
• Caleb Spencer Casto
• Tun-Yuan Chao, MPT
• Sora Chapman, LMT
• Dougal Chisholm, MD
• Fred C Chittenden, DDS
• Ara Christensen, LMFT
• Whitney Michelle Christgau
• Wayne M Christianson, RPH

• Dental Clinic/Center in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.