Active NPI
Elise Mariko Hei-Fung Cheng, DDS
- Dentist
- Lakeland, FL
National Provider Identifier
1912596313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN25599
- Practice address
- 3700 US Highway 98 N Unit 105
Lakeland, FL 33809-3863 - Phone
- (863) 225-4585
- NPI assigned
- Jan 11, 2021
- Last updated
- Jan 11, 2021
- 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 | DN25599 | FL | |
| Dentist | 122300000X | DN25599 | FL | Primary |
Addresses
Primary practice location
3700 US Highway 98 N Unit 105
Lakeland, FL 33809-3863
Mailing address
2970 Saddle Ridge LN
Lakeland, FL 33810-2533
Phone (213) 986-6848
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 |
|---|---|---|---|
| DN25599 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentists of Lakeland, PA | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1912596313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2970 SADDLE RIDGE LN",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338102533",
"telephone_number": "213-986-6848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 US HIGHWAY 98 N UNIT 105",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338093863",
"telephone_number": "863-225-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "ELISE",
"middle_name": "MARIKO HEI-FUNG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN25599",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.