E.S. Cheung Dental Group, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53981 Issued in CA

Legal business name

E.S. CHEUNG DENTAL GROUP, INC

Practice address

1765 E Bayshore Rd
Suite H
East Palo Alto, CA 94303-2503

Phone

(650) 321-6911

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Eric Cheung

Title

President

Phone

(650) 321-6911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1306202957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 E BAYSHORE RD",
            "address_2": "SUITE H",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 E BAYSHORE RD",
            "address_2": "SUITE H",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032503",
            "telephone_number": "650-321-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.S. CHEUNG DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-321-6911"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in East Palo Alto, CA
• Providers in East Palo Alto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.