Johnny Shu-Luan Cheng, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19070 Issued in TX

Practice address

4900 Overton Ridge Blvd
Suite 112
Fort Worth, TX 76132-1940

Phone

(817) 292-5957

Fax

(817) 292-0763

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871713545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OVERTON RIDGE BLVD",
            "address_2": "SUITE 112",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321940",
            "telephone_number": "817-292-5957",
            "fax_number": "817-292-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OVERTON RIDGE BLVD",
            "address_2": "SUITE 112",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321940",
            "telephone_number": "817-292-5957",
            "fax_number": "817-292-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "JOHNNY",
        "middle_name": "SHU-LUAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Chen, MD
• Ying Chen
• Yung Chen, DO
• Andrea E. Cheneweth, FNP
• Jin Cheng, M.D.
• Jung T. Cheng, M.D.
• Stephen Cheng, M.D.
• Steve Soman Chennankara, D.O
• Yamini P. Chennu, M.D.
• Anupama Chennupati, MD

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• 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.

Verify at the official NPI Registry.