Stephen Cheung, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS101878 Issued in CA

Practice address

1420 S Mills Ave Ste D
Lodi, CA 95242-4291

Phone

(209) 369-3617

Fax

(209) 369-0498

NPI assigned

Jun 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stephen Cheung DDS

  • Dental Clinic/Center
  • Lodi, CA
  • NPI 1982167466
  NPD Authorized official
• Dental Corporation of Amardeep Gill DDS

  • General Practice Dentistry
  • West Sacramento, CA
  • NPI 1184874026
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1982133385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S MILLS AVE STE D",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424291",
            "telephone_number": "209-369-3617",
            "fax_number": "209-369-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S MILLS AVE STE D",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424291",
            "telephone_number": "209-369-3617",
            "fax_number": "209-369-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "STEPHEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022200",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Philip Chen, M.D.
• Eric Chen, DPT
• Frank F Chen, DDS
• George D Chen, M.D.
• Xinchen Chen
• Atasca Chiles-Holmes
• Soungmin Cho
• Pooja Chopra
• Ann-Marie J Christian, IBCLC
• Tessa Denyse Christy, PT, DPT

• Dentist in Lodi, CA
• Providers in Lodi, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.