Active NPI
Jenny S Cheung, D.D.S.
- General Practice Dentistry
- Manassas, VA
National Provider Identifier
1780644153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401411412
- Practice address
- 9003 Church St
Manassas, VA 20110-5410 - Phone
- (703) 369-2323
- Fax
- (703) 369-4854
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13697 | MD | |
| General Practice Dentistry | 1223G0001X | 0401411412 | VA | Primary |
Addresses
Primary practice location
9003 Church St
Manassas, VA 20110-5410
Mailing address
43350 Juniper Glen Dr
Chantilly, VA 20152-1969
Phone (443) 691-2938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13697 | MD | MD | General Practice Dentistry |
| 0401411412 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ea Dental | General Practice | Current | Accepting new patients |
| Reston Dental Care PC | General Practice | Past | Accepting new patients |
Locations
11345 Sunset Hills Rd
Reston, VA 20190
Phone (703) 689-0110
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Reston, VA
- NPI 1700217221
-
- General Practice Dentistry
- Reston, VA
- NPI 1255509303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780644153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43350 JUNIPER GLEN DR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201521969",
"telephone_number": "443-691-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9003 CHURCH ST",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201105410",
"telephone_number": "703-369-2323",
"fax_number": "703-369-4854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEUNG",
"first_name": "JENNY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "13697",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401411412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.