Organization Active NPI

Chun W. Peng DMD, PLLC

Doing business as Moores Chapel Dentistry

  • Dentist
  • Charlotte, NC
National Provider Identifier
1457710717
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9962 Issued in NC
Legal business name
CHUN W. PENG DMD, PLLC
Doing business as
Moores Chapel Dentistry
Practice address
9115 Samlen LN
Suite 105
Charlotte, NC 28214-3360
Phone
(704) 398-9299
NPI assigned
Feb 15, 2016
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Dr. Chun Wei Peng, D.M.D.
Title
Dentist
Phone
(704) 398-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9962 NC Primary

Addresses

Primary practice location

9115 Samlen LN
Suite 105
Charlotte, NC 28214-3360

Mailing address

9115 Samlen LN
Suite 105
Charlotte, NC 28214-3360
Phone (704) 398-9299

Other names 1

  • Moores Chapel Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9115 Samlen Ln
Ste 105
Charlotte, NC 28214
Phone (704) 398-9299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1457710717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 SAMLEN LN",
            "address_2": "SUITE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282143360",
            "telephone_number": "704-398-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 SAMLEN LN",
            "address_2": "SUITE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282143360",
            "telephone_number": "704-398-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUN W. PENG DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "CHUN",
        "authorized_official_middle_name": "WEI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-398-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moores Chapel Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.