Active NPI
Brenton T Cheng, DC
- Chiropractor
- Bellevue, WA
National Provider Identifier
1316184492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60326743
- Practice address
- 1823 115TH Ave NE
Bellevue, WA 98004-3002 - Phone
- (503) 839-5683
- NPI assigned
- Jan 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3852 | OR | |
| Chiropractor | 111N00000X | CH60326743 | WA | Primary |
Addresses
Primary practice location
1823 115TH Ave NE
Bellevue, WA 98004-3002
Mailing address
1823 115TH Ave NE
Bellevue, WA 98004-3002
Phone (503) 839-5683
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 |
|---|---|---|---|
| 3852 | OR | MD | Clinical Social Worker |
| CH60326743 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367712000000",
"number": "1316184492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 115TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043002",
"telephone_number": "503-839-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 115TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043002",
"telephone_number": "503-839-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "BRENTON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-12",
"last_updated": "2013-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3852",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60326743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.