NPIMap

Organization Active NPI

Chaur-Chou Cheng D.M.D., Inc.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1619189313
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31227 Issued in CA
Legal business name
CHAUR-CHOU CHENG D.M.D., INC.
Practice address
4194 Convoy St
San Diego, CA 92111-3702
Phone
(858) 569-1918
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Lin
Title
Office Manager
Phone
(858) 569-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31227 CA Primary

Addresses

Primary practice location

4194 Convoy St
San Diego, CA 92111-3702

Mailing address

4194 Convoy St
San Diego, CA 92111-3702
Phone (858) 569-1918

National Provider Directory

National Provider Directory

Locations

4194 Convoy St
San Diego, CA 92111
Phone (858) 569-1918

Practitioners & affiliated clinicians

Practitioners 3

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619189313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4194 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113702",
            "telephone_number": "858-569-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4194 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113702",
            "telephone_number": "858-569-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUR-CHOU CHENG D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-569-1918"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.