Active NPI
Qingcong Zeng, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 13092
- Practice address
- 508 Princeton Rd Ste 204
Johnson City, TN 37601-2063 - Phone
- (423) 915-1072
- NPI assigned
- Mar 12, 2020
- Last updated
- Oct 2, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13092 | TN | Primary |
Addresses
Primary practice location
508 Princeton Rd Ste 204
Johnson City, TN 37601-2063
Mailing address
508 Princeton Rd Ste 204
Johnson City, TN 37601-2063
Phone (423) 915-1072
Other practice location 1
444 Clinchfield St Ste 305
Kingsport, TN 37660-3858
Phone (423) 732-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whatley Health Services Inc | Current | Accepting new patients | |
| Whatley Health Services, Inc. | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients |
Locations
2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250
Interoperability endpoints
- qzeng599821@direct.ochin.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Maude L. Whatley Health Centers
- Federally Qualified Health Center (FQHC)
- Tuscaloosa, AL
- NPI 1063422756
-
dba Whatley Health Services Pharmacy
- Community/Retail Pharmacy
- Tuscaloosa, AL
- NPI 1477276749
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1588290357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 PRINCETON RD STE 204",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012063",
"telephone_number": "423-915-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 PRINCETON RD STE 204",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012063",
"telephone_number": "423-915-1072"
}
],
"practiceLocations": [
{
"address_1": "444 Clinchfield St Ste 305",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603858",
"country_code": "US",
"telephone_number": "423-732-7575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZENG",
"first_name": "QINGCONG",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-12",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TN",
"license": "13092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.