KAE S.C. CHENG (NPI# 1619025988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619025988 |
| Entity Type | Individual |
| Full Name | KAE S.C. CHENG |
| Credential | DMD MD |
| Practice Address |
1740 W 17th Ave Eugene OR 97402-3619 |
| Mailing Address |
442 Sw Umatilla Ave Suite 200 Redmond OR 97756-7039 |
| Practice Telephone | 8884680022 |
| Practice Fax Number | 5415043907 |
| Mailing Telephone | 8884804478 |
| Mailing Fax Number | 5415043907 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D7930 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI | 1619025988 | 01 |
| Street Address |
1740 W 17TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031350 | Hayden Family Dental Group | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2005-11-23 |
| 1437762473 | Vy Thanh Tran | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2020-08-28 |
| 1194369801 | Anastasia Mospanova | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2019-11-05 |
| 1134773724 | Austin Irene Lundin | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2019-07-31 |
| 1356995260 | Casey A Thein | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2019-07-29 |
| 1710431093 | Alexander Sonesson | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2016-08-04 |
| 1386197564 | Erin Kathleen Johnson | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2016-07-25 |
| 1417321449 | Lauri Michelle Peckels | Dental Hygienist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2015-11-13 |
| 1639586340 | Tyler Schultze | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2014-07-14 |
| 1356756001 | Dana Matlock | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2014-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457699142 | Bryan Christopher Williams | Dentist | 330 S Garden Way Ste 140, Eugene, OR 97401 | 2013-01-30 |
| 1568442820 | Thomas Matthew Jacks | Dentist | 2650 Suzanne Way Ste 110, Eugene, OR 97408-7619 | 2006-01-20 |
| 1437157377 | Gerald Alan Harper | Dentist | 2650 Suzanne Way, Suite 110, Eugene, OR 97408-7319 | 2005-07-13 |
| 1952882185 | Northwest Oral and Implant Surgery | Dentist | 911 Country Club Rd Ste 100, Eugene, OR 97401-6045 | 2018-08-25 |
| 1437444866 | Kevin C. Sweeney | Dentist | 911 Country Club Rd Ste 100, Eugene, OR 97401-6045 | 2011-06-14 |
| 1114098365 | John E Villano | Dentist | 2233 Willamette St, Bldg G, Eugene, OR 97405-2890 | 2006-11-10 |
| 1619981859 | Todd S Tucker | Dentist | 330 S Garden Way, Suite 140, Eugene, OR 97401 | 2006-07-27 |
| 1386667434 | Brian M Allender | Dentist | 330 S Garden Way, Suite 140, Eugene, OR 97401 | 2006-07-26 |
| 1427071661 | Colin Kipp Hammon | Dentist | 330 S Garden Way, Suite 140, Eugene, OR 97401 | 2006-07-26 |
| 1447271655 | Oregon Oral and Implant Surgeons P.C. | Dentist | 330 S Garden Way, Suite 140, Eugene, OR 97401-8176 | 2006-07-22 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.