Individual provider Active NPI

Dock Ju Cheong

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1346872264
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18529 Issued in CA
Practice address
1914 S Western Ave
Los Angeles, CA 90018-1537
Phone
(909) 229-2721
NPI assigned
Feb 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 18529 CA Primary

Addresses

Primary practice location

1914 S Western Ave
Los Angeles, CA 90018-1537

Mailing address

1914 S Western Ave
Los Angeles, CA 90018-1537

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

LicenseStateTypeSpecialty
18529CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Classic Wellness Inc Acupuncturist CurrentSince Feb 16, 2020 Accepting new patients

Locations

1914 S Western Ave
Los Angeles, CA 90018
Phone (213) 389-8275

4221 Wilshire Blvd
Ste 170-8
Los Angeles, CA 90010
Phone (213) 755-9965

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": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1346872264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181537",
            "telephone_number": "909-229-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEONG",
        "first_name": "DOCK JU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.