Active NPI
Susanna Cheng, DDS
- Dentist
- San Mateo, CA
National Provider Identifier
1477946606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39616
- Practice address
- 181 2ND Ave
San Mateo, CA 94401-3824 - Phone
- (650) 343-3220
- Fax
- (650) 343-7464
- NPI assigned
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39616 | CA | Primary |
Addresses
Primary practice location
181 2ND Ave
San Mateo, CA 94401-3824
Mailing address
181 2ND Ave
San Mateo, CA 94401-3824
Phone (650) 343-3220
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39616 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1477946606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 2ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013824",
"telephone_number": "650-343-3220",
"fax_number": "650-343-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 2ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013824",
"telephone_number": "650-343-3220",
"fax_number": "650-343-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "SUSANNA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.