Individual provider Active NPI

David Cheng, DDS

  • Dentist
  • Dallas, TX
National Provider Identifier
1477081701
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35561 Issued in TX
Practice address
3030 LBJ Fwy Ste 1400
Dallas, TX 75234-2766
Phone
(972) 663-5301
NPI assigned
May 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60840011 WA
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 35561 TX Primary

Addresses

Primary practice location

3030 LBJ Fwy Ste 1400
Dallas, TX 75234-2766

Mailing address

4100 Southwest Fwy Apt 264
Houston, TX 77027-7438
Phone (301) 768-5350

Other practice location 1

625 Elmwood Ave # 683
Rochester, NY 14620-2913
Phone (585) 275-8315

Other practice location 2

722 12th St SE
Auburn, WA 98002
Phone (253) 939-0700

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
35561TXMDDentist
60840011WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David Cheng, PLLC CurrentSince Nov 8, 2020 Accepting new patients
Kent Nuttall DMD PS General Practice Past Accepting new patients

Locations

1708 Spring Green Blvd
Ste 195
Katy, TX 77494
Phone (832) 713-7325

Organizations & group practices 2

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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477081701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SOUTHWEST FWY APT 264",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277438",
            "telephone_number": "301-768-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342766",
            "telephone_number": "972-663-5301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Elmwood Ave # 683",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202913",
            "country_code": "US",
            "telephone_number": "585-275-8315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "722 12th St SE",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "98002",
            "country_code": "US",
            "telephone_number": "253-939-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60840011",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.