Cheukhung A NG, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

15197 Issued in TX

Practice address

700 Flournoy Rd
Suite 2a
Alice, TX 78332

Phone

(361) 664-1417

Fax

(185) 535-0561

NPI assigned

Sep 28, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Action Corporation of South Texas

  • Multi-Specialty Clinic/Center
  • Beeville, TX
  • NPI 1912317801
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1497846752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-396-0370",
            "fax_number": "361-664-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FLOURNOY RD",
            "address_2": "SUITE 2A",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "telephone_number": "361-664-1417",
            "fax_number": "185-535-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Hillside Dr # 5615",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025307",
            "country_code": "US",
            "telephone_number": "361-362-0307",
            "fax_number": "361-492-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 General Cavazos Blvd Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637123",
            "country_code": "US",
            "telephone_number": "361-592-3237",
            "fax_number": "361-221-1856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "CHEUKHUNG",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "15197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009033401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133270208",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D15197",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marranda Morales
• Crystal Moscot, MS, LCDC, LPC
• Isabel Munoz
• Monica Yvette Munoz, SLP
• Jenna Alexis Navarro
• Joseph Reese Nicolini, D.O., PH.D.
• Annette Nieto
• Erik Nisimblat, MD
• William Nisimblat, MD
• David Ochoa

• Dentist in Alice, TX
• Providers in Alice, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.