Active NPI
Tin Cheng
- Dentist
- Sacramento, CA
National Provider Identifier
1760129084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS110253
- Practice address
- 1401 El Camino Ave Ste 125
Sacramento, CA 95815-2752 - Phone
- (866) 988-4504
- NPI assigned
- May 18, 2022
- Last updated
- Jan 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS110253 | CA | Primary |
Addresses
Primary practice location
1401 El Camino Ave Ste 125
Sacramento, CA 95815-2752
Mailing address
1775 Grand Concourse FL 6
Bronx, NY 10453-8202
Other names 1
- Tim Cheng
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250110003271 | CA | Order and Referring Only - Dentist | 5193253664 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110253 | CA | MD | Marriage & Family Therapist |
| DDS110253 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Nguyen Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Enable Dental Inc.
- Dental Clinic/Center
- Santa Ana, CA
- NPI 1801430913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1760129084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 GRAND CONCOURSE FL 6",
"city": "BRONX",
"state": "NY",
"postal_code": "104538202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 EL CAMINO AVE STE 125",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958152752",
"telephone_number": "866-988-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "TIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-18",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS110253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIM",
"last_name": "CHENG",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacramento, CA
- Rachel Cheng, OTR/L
- Robert H. Cheng, MD
- Stanley Herman Cheng, DO
- Stephanie Cheng, DDS
- Tiffany Yi-Mei Cheng, MD
- James Alan Chenoweth, M.D.
- Hui Min Min Cheong, MD
- Ryan Anne Cheperka, PH.D.
- Cherag Dinshaw Sarkari DDS a Dental Corporation (Blue Hills Dental)
- Cherag Dinshaw Sarkari DDS a Dental Corporation (Access Dental Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.