Individual provider Active NPI

Elizabeth C Cheng, DDS

  • Dentist
  • Manakin Sabot, VA
National Provider Identifier
1952719981
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401419267 Issued in VA
Practice address
115 Broad Street Rd Ste C
Manakin Sabot, VA 23103-2272
Phone
(804) 784-4624
NPI assigned
Jul 22, 2014
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30200 TX
Dentist 122300000X 0401419267 VA Primary

Addresses

Primary practice location

115 Broad Street Rd Ste C
Manakin Sabot, VA 23103-2272

Mailing address

12003 Stable Ridge Ter
Glen Allen, VA 23059-2656
Phone (832) 638-7176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011002059 TX Order and Referring Only - DentistPractitioner - Dentist 8022484328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401419267VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter R Murchie DDS PastSince Mar 11, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1952719981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12003 STABLE RIDGE TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592656",
            "telephone_number": "832-638-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROAD STREET RD STE C",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231032272",
            "telephone_number": "804-784-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30200",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manakin Sabot, VA

Sources for this page

Verify at the official NPI Registry.