Individual provider Active NPI

Lance Cheng, D.D.S.

  • Pediatric Dentistry
  • Gainesville, VA
National Provider Identifier
1619416823
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401416178 Issued in VA
Practice address
7521 Virginia Oaks Dr Ste 210
Gainesville, VA 20155-3831
Phone
(703) 947-0836
NPI assigned
Feb 21, 2017
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401416178 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7521 Virginia Oaks Dr Ste 210
Gainesville, VA 20155-3831

Mailing address

8303 Colby St
Vienna, VA 22180-6937
Phone (571) 276-0896

Other practice location 1

313 S. Lakewood Dr.
Brandon, FL 33511
Phone (813) 349-7979

Other practice location 2

24565 Dulles Landing Dr Unit 150
Dulles, VA 20166-2714
Phone (703) 542-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401416178VAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1619416823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 COLBY ST",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806937",
            "telephone_number": "571-276-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 VIRGINIA OAKS DR STE 210",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553831",
            "telephone_number": "703-947-0836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 S. Lakewood Dr.",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "33511",
            "country_code": "US",
            "telephone_number": "813-349-7979",
            "fax_number": "813-938-6427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24565 Dulles Landing Dr Unit 150",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662714",
            "country_code": "US",
            "telephone_number": "703-542-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401416178",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.