Organization Active NPI

Kenneth W. Cheng, DDS, Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1376971739
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47862 Issued in CA
Legal business name
KENNETH W. CHENG, DDS, INC.
Practice address
423 Alpine St
Los Angeles, CA 90012-2305
Phone
(213) 680-0380
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Kenneth Cheng, DDS
Title
President
Phone
(626) 232-3127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47862 CA Primary

Addresses

Primary practice location

423 Alpine St
Los Angeles, CA 90012-2305

Mailing address

423 Alpine St
Los Angeles, CA 90012-2305
Phone (213) 680-0380

National Provider Directory

National Provider Directory

Locations

423 Alpine St
Los Angeles, CA 90012
Phone (213) 680-0380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1376971739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 ALPINE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122305",
            "telephone_number": "213-680-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 ALPINE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122305",
            "telephone_number": "213-680-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W. CHENG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-232-3127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47862",
            "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 Oct 23, 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.

Verify at the official NPI Registry.