Individual provider Active NPI

Patrick H Cheung, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1306995345
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33734 Issued in CA
Practice address
1283 22ND Ave 2ND Floor
San Francisco, CA 94122-1601
Phone
(415) 753-9888
Fax
(415) 753-9688
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33734 CA Primary

Addresses

Primary practice location

1283 22ND Ave 2ND Floor
San Francisco, CA 94122-1601

Mailing address

1283 22ND Ave 2ND Floor
San Francisco, CA 94122-1601
Phone (415) 753-9888

Other identifiers 1

IdentifierTypeStateIssuer
D33734OtherCAMEDI-CAL OR DENTI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151228001972 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9234430984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33734CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheung Professional Dental Corp. General Practice CurrentSince Jun 18, 2023 Accepting new patients

Locations

1283 22nd Ave
#2
San Francisco, CA 94122
Phone (415) 753-9888

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1306995345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 22ND AVE 2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221601",
            "telephone_number": "415-753-9888",
            "fax_number": "415-753-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 22ND AVE 2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221601",
            "telephone_number": "415-753-9888",
            "fax_number": "415-753-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "PATRICK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL OR DENTI-CAL",
            "identifier": "D33734",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.