Organization Active NPI

Brian H. Cheung, DDS, MD, PLLC

Doing business as Advanced Dental Implants & Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Bonney Lake, WA
National Provider Identifier
1518811447
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BRIAN H. CHEUNG, DDS, MD, PLLC
Doing business as
Advanced Dental Implants & Oral Surgery
Practice address
18209 State Route 410 E Ste 210
Bonney Lake, WA 98391-5146
Phone
(253) 338-4188
Fax
(253) 338-4189
NPI assigned
Feb 26, 2026
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIAN H. CHEUNG, DDS, MD, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Jenn Heritage
Title
Credentialing Manager
Phone
(402) 805-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

18209 State Route 410 E Ste 210
Bonney Lake, WA 98391-5146

Mailing address

18209 State Route 410 E Ste 210
Bonney Lake, WA 98391-5146
Phone (253) 338-4188

Other names 1

  • Advanced Dental Implants & Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brian H Cheung DDS MD PLLC2 organizations share this tax ID, including this one
Part of
Brian H Cheung DDS MD PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18209 State Route 410 E
Ste 210
Bonney Lake, WA 98391
Phone (253) 338-4188

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1518811447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18209 STATE ROUTE 410 E STE 210",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915146",
            "telephone_number": "253-338-4188",
            "fax_number": "253-338-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18209 STATE ROUTE 410 E STE 210",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915146",
            "telephone_number": "253-338-4188",
            "fax_number": "253-338-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN H. CHEUNG, DDS, MD, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIAN H. CHEUNG, DDS, MD, PLLC",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "HERITAGE",
        "authorized_official_first_name": "JENN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "402-805-4516"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Implants & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.