Individual provider Active NPI

Eric Kai Cheung, D.D.S.

  • Dentist
  • Arcadia, CA
National Provider Identifier
1336302009
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57189 Issued in CA
Practice address
440 E Huntington Dr Ste 101
Arcadia, CA 91006-3750
Phone
(626) 447-5126
Fax
(626) 447-0077
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57189 CA Primary

Addresses

Primary practice location

440 E Huntington Dr Ste 101
Arcadia, CA 91006-3750

Mailing address

596 Bellevue Rd
Atwater, CA 95301-2930
Phone (209) 358-0800

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
I20151208002443 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880995273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57189CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Kai Cheung DDS Inc Dentist Past Accepting new patients
F.Manavi,D.D.S.,Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1336302009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 BELLEVUE RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953012930",
            "telephone_number": "209-358-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR STE 101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063750",
            "telephone_number": "626-447-5126",
            "fax_number": "626-447-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "ERIC",
        "middle_name": "KAI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.