Brian H. Cheung, DDS, MD, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BRIAN H. CHEUNG, DDS, MD, PLLC

Practice address

509 Olive Way Ste 1331
Seattle, WA 98101-1743

Phone

(206) 624-0852

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brian Hiufai Cheung, DDS, MDNPI 1306281241

Title

Ceo

Phone

(206) 412-8554

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seattle Premier Oral Surgery Doing business as

Tax ID family

Brian H Cheung DDS MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brian H. Cheung, DDS, MD, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bonney Lake, WA
  • NPI 1518811447
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Brian H. Cheung, DDS, MD, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bonney Lake, WA
  • NPI 1518811447
  NPPES parent name

Practitioners 1

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

• Brian H Cheung, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
  • NPI 1306281241
  NPD Authorized official

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1750842415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19623 30TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551503",
            "telephone_number": "206-412-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1331",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011743",
            "telephone_number": "206-624-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN H. CHEUNG, DDS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "HIUFAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-412-8554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100290061",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Premier Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart Alan Brewster, LICSW
• Robyn Z U Brezinski, LMP
• Lucy Elizabeth Brezynski
• Bria LLC
• Brian Desroches, Inc.
• Brian L Grant MD Inc PS
• Brian P. Moody, DDS, PLLC
• Brian R Faber DDS PS
• Brianna Cardenas, Physician Assistant, Inc
• Laura Sherman Brice, ARNP

• Oral and Maxillofacial Surgery (Dentist) in Seattle, WA
• Providers in Seattle, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.