Organization Active NPI

Stephen Cheung DDS

  • Dental Clinic/Center
  • Lodi, CA
National Provider Identifier
1982167466
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STEPHEN CHEUNG DDS
Practice address
1420 S Mills Ave
Lodi, CA 95242-4291
Phone
(530) 219-8754
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Stephen Cheung, DDSNPI 1982133385
Title
Owner
Phone
(530) 219-8754

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1420 S Mills Ave
Lodi, CA 95242-4291

Mailing address

7809 Wymark Dr
Elk Grove, CA 95758-7800
Phone (530) 219-8754

National Provider Directory

National Provider Directory

Locations

1420 S Mills Ave
Lodi, CA 95242
Phone (530) 219-8754

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": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1982167466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 WYMARK DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587800",
            "telephone_number": "530-219-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S MILLS AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424291",
            "telephone_number": "530-219-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN CHEUNG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-219-8754",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.