Organization Active NPI

Lawrence M. Cheng

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1710146154
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAWRENCE M. CHENG
Practice address
10399 Foothill Blvd
Suite 101-a
Rancho Cucamonga, CA 91730-6956
Phone
(909) 481-7317
Fax
(909) 481-7319
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Lawrence M Cheng, DDSNPI 1245427582
Title
Owner
Phone
(909) 481-7317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10399 Foothill Blvd
Suite 101-a
Rancho Cucamonga, CA 91730-6956

Mailing address

10399 Foothill Blvd
Suite 101-a
Rancho Cucamonga, CA 91730-6956
Phone (909) 481-7317

Other identifiers 3

IdentifierTypeStateIssuer
B44577-07OtherCADELTA DENTAL HEALTHY FAMILIES
1245427582OtherUNITED CONCORDIA
344577OtherCADELTA DENTAL

Other names 1

  • smile haven dental Doing business as

National Provider Directory

National Provider Directory

Locations

10399 Foothill Blvd
Ste 101A
Rancho Cucamonga, CA 91730
Phone (909) 481-7317

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1710146154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10399 FOOTHILL BLVD",
            "address_2": "SUITE 101-A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306956",
            "telephone_number": "909-481-7317",
            "fax_number": "909-481-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10399 FOOTHILL BLVD",
            "address_2": "SUITE 101-A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306956",
            "telephone_number": "909-481-7317",
            "fax_number": "909-481-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE M. CHENG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-481-7317",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL HEALTHY FAMILIES",
            "identifier": "B44577-07",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1245427582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "344577",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "smile haven dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.