Active NPI
Lance Cheng, D.D.S.
- Pediatric Dentistry
- Gainesville, VA
National Provider Identifier
1619416823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401416178
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416178 | VA | MD | Pediatric 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.