Cheng Zhu DMD Dental Group Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

61992 Issued in CA

Legal business name

CHENG ZHU DMD DENTAL GROUP INC

Doing business as

Freedom Family, Cosmetic and Sedation Dental

Practice address

2201 Boynton Ave
Fairfield, CA 94533

Phone

(702) 422-2236

NPI assigned

May 29, 2018

Last updated

May 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheng Zhu, DMD

Title

Dentist

Phone

(707) 422-2236

Specialties & licenses 1

Addresses

Other names 1

• Freedom Family, Cosmetic and Sedation Dental Doing business as

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1720579485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BOYNTON AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "702-422-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BOYNTON AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "702-422-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHENG ZHU DMD DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "ZHU",
        "authorized_official_first_name": "CHENG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "707-422-2236",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Family, Cosmetic and Sedation Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freedom Family, Cosmetic and Sedation Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chen & Su Dental Group, Inc.
• Yinchen Jenny Chen Wildman, RDN
• Frank J Chen, D.D.S.
• Julie Ann Chen, M.D.
• William T. Chen, MD
• Trina Cheng, PHARMD
• Anna Jaeeun Cheong, DDS
• Cherag Dinshaw Sarkari DDS a Dental Corporation (Access Dental Centers)
• Samantha B Cherry, LCSW
• Melanie Cheung

• Dental Clinic/Center in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.