NPIMap

Organization Active NPI

Dr. Cheng'S Dental Office,Chaur Yang Cheng D.D.S. Inc. General Partner

  • General Practice Dentistry
  • San Gabriel, CA
National Provider Identifier
1285846857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28525 Issued in CA
Legal business name
DR. CHENG'S DENTAL OFFICE,CHAUR YANG CHENG D.D.S. INC. GENERAL PARTNER
Practice address
504 E Las Tunas Dr
San Gabriel, CA 91776-1547
Phone
(626) 285-1918
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Lin
Title
Office Manager
Phone
(626) 285-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 28525 CA Primary

Addresses

Primary practice location

504 E Las Tunas Dr
San Gabriel, CA 91776-1547

Mailing address

504 E Las Tunas Dr
San Gabriel, CA 91776-1547
Phone (626) 285-1918

National Provider Directory

National Provider Directory

Locations

504 E Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 285-1918

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285846857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761547",
            "telephone_number": "626-285-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761547",
            "telephone_number": "626-285-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHENG'S DENTAL OFFICE,CHAUR YANG CHENG D.D.S. INC. GENERAL PARTNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-285-1918"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.