Active NPI
Chin Lin Cheng, MD
- General Practice Physician
- Bristol, VA
National Provider Identifier
1669407987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101026301
- Practice address
- 381 Suncrest Drive
Bristol, VA 24201-1831 - Phone
- (276) 466-8201
- Fax
- (276) 466-8201
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101026301 | VA | Primary |
Addresses
Primary practice location
381 Suncrest Drive
Bristol, VA 24201-1831
Mailing address
381 Suncrest Drive
Bristol, VA 24201-1831
Phone (276) 466-8201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4176433 | Other | TN | MEDAID TENN CARE |
| 055998 | Other | ANTHEM BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101026301 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669407987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 SUNCREST DRIVE",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242011831",
"telephone_number": "276-466-8201",
"fax_number": "276-466-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 SUNCREST DRIVE",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242011831",
"telephone_number": "276-466-8201",
"fax_number": "276-466-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "CHIN",
"middle_name": "LIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101026301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDAID TENN CARE",
"identifier": "4176433",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "055998",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, VA
- Brady Lynn Carter, PT DPT
- Heather Thomas Carter, FNP-C
- Kathryn Ann Caselli, OTR
- Centerwell Health Services (USA), LLC (Centerwell Home Health)
- Chad L Westfall DDS PC
- Jennifer Chisler, MS CCCSLP
- Amy Renae Chisom
- City of Bristol VA (Bristol Virginia Fire Department)
- Ashley Clark, COTA/L
- Erika Renea Clark
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.