Individual provider Active NPI

George S Cheng, DDS

  • General Practice Dentistry
  • Fredericksburg, VA
National Provider Identifier
1669555249
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410608 Issued in VA
Practice address
5996 Plank Rd
Fredericksburg, VA 22407-6232
Phone
(540) 412-6793
Fax
(540) 775-0626
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410608 VA Primary

Addresses

Primary practice location

5996 Plank Rd
Fredericksburg, VA 22407-6232

Mailing address

11216 Chivalry Chase LN
Spotsylvania, VA 22551-8929
Phone (804) 357-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20160603001405 VA Order and Referring Only - DentistPractitioner - Dentist 3476864513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401410608VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Battlefield Dental of Fredericksburg, Inc. General Practice CurrentSince Dec 6, 2020 Accepting new patients
Community Dental Inc General Practice Past Accepting new patients

Locations

5996 Plank Rd
Fredericksburg, VA 22407
Phone (540) 412-6793

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1669555249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 CHIVALRY CHASE LN",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225518929",
            "telephone_number": "804-357-5000",
            "fax_number": "540-775-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5996 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076232",
            "telephone_number": "540-412-6793",
            "fax_number": "540-775-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "GEORGE",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.