Individual provider Active NPI

Cathy H Cheng, DDS, PHD

  • General Practice Dentistry
  • Ypsilanti, MI
National Provider Identifier
1245769736
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022244 Issued in MI
Practice address
567 N Hewitt Rd
Ypsilanti, MI 48197-1812
Phone
(734) 434-1211
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022244 MI
General Practice Dentistry 1223G0001X 2901022244 MI Primary

Addresses

Primary practice location

567 N Hewitt Rd
Ypsilanti, MI 48197-1812

Mailing address

567 N Hewitt Rd
Ypsilanti, MI 48197-1812
Phone (734) 434-1211

Other identifiers 1

IdentifierTypeStateIssuer
2901022244OtherMIDENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620003315 MI Order and Referring Only - DentistPractitioner - Dentist 6406124221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2901022244MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Smile Family Dentistry PLLC Current Accepting new patients

Locations

567 N Hewitt Rd
Ypsilanti, MI 48197
Phone (734) 434-1211

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1245769736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 N HEWITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971812",
            "telephone_number": "734-434-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N HEWITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971812",
            "telephone_number": "734-434-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "CATHY",
        "middle_name": "H",
        "credential": "DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022244",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901022244",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.