Active NPI
Brian H Cheung, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Seattle, WA
National Provider Identifier
1306281241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 9364
- Practice address
- 509 Olive Way Ste 1331
Seattle, WA 98101-1743 - Phone
- (206) 624-0852
- Fax
- (206) 622-2084
- NPI assigned
- May 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9364 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9364 | KY | Primary |
Addresses
Primary practice location
509 Olive Way Ste 1331
Seattle, WA 98101-1743
Mailing address
509 Olive Way Ste 1331
Seattle, WA 98101-1743
Phone (206) 412-8554
Other practice location 1
800 Rose St
D-508
Lexington, KY 40536-0001
Phone (206) 412-8554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9364 | KY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian H. Cheung, DDS, MD, PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Brian H. Cheung, DDS, MD, PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
509 Olive Way
Ste 1331
Seattle, WA 98101
Phone (206) 624-0852
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Seattle, WA
- NPI 1750842415
-
- Oral and Maxillofacial Surgery (Dentist)
- Bonney Lake, WA
- NPI 1518811447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1306281241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 1331",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011743",
"telephone_number": "206-412-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 1331",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011743",
"telephone_number": "206-624-0852",
"fax_number": "206-622-2084"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_2": "D-508",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360001",
"country_code": "US",
"telephone_number": "206-412-8554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEUNG",
"first_name": "BRIAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-06",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "9364",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "9364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.