Individual provider Active NPI

Cheng Tang, DMD

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1396392080
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7282 Issued in NV
Practice address
2570 Wigwam Pkwy Unit 110
Henderson, NV 89074-6226
Phone
(702) 757-3399
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7282 NV Primary

Addresses

Primary practice location

2570 Wigwam Pkwy Unit 110
Henderson, NV 89074-6226

Mailing address

7255 W Sunset Rd Apt 2037
Las Vegas, NV 89113-1911
Phone (503) 929-6988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20200219001858 NV Order and Referring Only - DentistPractitioner - Dentist 4789011446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7282NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Velayo Green Valley Smiles Dentistry, PC General Practice CurrentSince Feb 13, 2022 Accepting new patients

Locations

2570 Wigwam Pkwy
Ste 110
Henderson, NV 89074
Phone (702) 757-3399

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1396392080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 W SUNSET RD APT 2037",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131911",
            "telephone_number": "503-929-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 WIGWAM PKWY UNIT 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746226",
            "telephone_number": "702-757-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "CHENG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.