Individual provider Active NPI

Qingcong Zeng, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Johnson City, TN
National Provider Identifier
1588290357
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
13092 Issued in TN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201001435 AL Practitioner - Oral Surgery 6507296183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince Dec 1, 2021 Accepting new patients
Whatley Health Services, Inc. CurrentSince Dec 1, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. PastSince Mar 22, 2020 Accepting new patients

Locations

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.