Individual provider Active NPI

Daniel C. Cheng

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1689858219
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CA46769 Issued in CA
Practice address
925 Secret River Dr Ste C
Sacramento, CA 95831-3465
Phone
(916) 399-4880
NPI assigned
Dec 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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 CA46769 CA Primary

Addresses

Primary practice location

925 Secret River Dr Ste C
Sacramento, CA 95831-3465

Mailing address

925 Secret River Dr Ste C
Sacramento, CA 95831-3465

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110505000190 CA Practitioner - Oral Surgery 7214112382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46769CAMDMarriage & Family Therapist
CA46769CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Life Organization, Inc. General Practice CurrentSince Jun 15, 2015 Accepting new patients
Health and Life Organization, Inc General Practice CurrentSince Jun 15, 2015 Accepting new patients
Health and Life Organization, Inc Current Accepting new patients
Daniel C Cheng,DDS Past Accepting new patients

Locations

5524 Assembly Ct
Sacramento, CA 95823
Phone (916) 642-1880

7275 E Southgate Dr
Ste 204206
Sacramento, CA 95823
Phone (916) 428-3788

7275 E Southgate Dr
Ste 204
Sacramento, CA 95823
Phone (916) 428-3788

Interoperability endpoints

  • Direct secure messaging: dcheng768061@direct.ochin.org
  • Direct secure messaging: daniel.cheng.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 4

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": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1689858219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SECRET RIVER DR STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SECRET RIVER DR STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313465",
            "telephone_number": "916-399-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "DANIEL",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA46769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.