Individual provider Active NPI

Jeremy Sy Chieng, DDS

  • Dentist
  • Rancho Cucamonga, CA
National Provider Identifier
1356220750
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
112305 Issued in CA
Practice address
8130 Vineyard Ave
Rancho Cucamonga, CA 91730-3309
Phone
(909) 740-0208
NPI assigned
Aug 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 112305 CA Primary

Addresses

Primary practice location

8130 Vineyard Ave
Rancho Cucamonga, CA 91730-3309

Mailing address

PO Box 661148
Arcadia, CA 91066-1148
Phone (626) 616-0718

Other practice location 1

556 Las Tunas Dr Ste 203
Arcadia, CA 91007-8410
Phone (626) 447-2178

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
112305CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1356220750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661148",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661148",
            "telephone_number": "626-616-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 VINEYARD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303309",
            "telephone_number": "909-740-0208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "556 Las Tunas Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910078410",
            "country_code": "US",
            "telephone_number": "626-447-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIENG",
        "first_name": "JEREMY",
        "middle_name": "SY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.