Cheng L Miao, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

55353 Issued in CA

Practice address

3313 Spectrum
Irvine, CA 92618-3374

Phone

(310) 923-0197

Fax

(949) 387-5759

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1649378126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183374",
            "telephone_number": "310-923-0197",
            "fax_number": "949-387-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183374",
            "telephone_number": "310-923-0197",
            "fax_number": "949-387-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAO",
        "first_name": "CHENG",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "55353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Meyers
• Alfonso Guadalupe Meza Ramos
• Michael Meza
• MH Services
• Mi-Med Supply Co. Inc.
• Michael Adam Waldman, M.D.
• Michael H. Wong D.O. a Professional Corporation
• Michael J Kim, MD, Inc.
• Michael J Yoo, MD Inc
• Michael J. Marcus DPM a Professional Corporation

• Periodontics in Irvine, CA
• Providers in Irvine, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.

Verify at the official NPI Registry.