Organization Active NPI

Vincent C.Cheng DDS MSC Corp.

  • General Practice Dentistry
  • Montebello, CA
National Provider Identifier
1962600635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41068 Issued in CA
Legal business name
VINCENT C.CHENG DDS MSC CORP.
Practice address
616 N Montebello Blvd
Montebello, CA 90640-3538
Phone
(323) 728-3714
Fax
(323) 888-6003
NPI assigned
Jul 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent C Cheng, DDS MSC FADINPI 1346461977
Title
President
Phone
(323) 728-3714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41068 CA Primary

Addresses

Primary practice location

616 N Montebello Blvd
Montebello, CA 90640-3538

Mailing address

616 N Montebello Blvd
Montebello, CA 90640-3538
Phone (323) 888-6002

National Provider Directory

National Provider Directory

Locations

616 N Montebello Blvd
Montebello, CA 90640
Phone (323) 728-3714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962600635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403538",
            "telephone_number": "323-888-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403538",
            "telephone_number": "323-728-3714",
            "fax_number": "323-888-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT C.CHENG DDS MSC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-728-3714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSC FADI"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.