Philip Cheng, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62513 Issued in CA

Practice address

1355 Broad Ave
Wilmington, CA 90744-2648

Phone

(562) 228-6246

NPI assigned

Jul 10, 2013

Last updated

Oct 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dentist

Education

Midwestern University College of Dental Medicine, Glendale, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1184234726
  Medicare reassignment NPD

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412985600000",
    "number": "1417398181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18866 JEFFREY AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036100",
            "telephone_number": "562-228-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 BROAD AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442648",
            "telephone_number": "562-228-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2014-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venido Cea
• Maria Guadalupe Cervantes Equihua
• Sabrina Lenh Chau, RPH
• Erick Chen, ATC
• George Y Cheng, D.O.
• Children's Institute Inc.
• Chiroman Wellness Center
• Agnes Donghee Lee Choi, DNP
• Christo Medical Distributor
• Chung Dentistry Apc

• General Practice Dentistry in Wilmington, CA
• Providers in Wilmington, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.