KELLVAN J CHENG DPM PA NPI 1134352289

NPI Information

  • NPI: 1134352289
  • Provider Name: KELLVAN J CHENG, DPM, PA
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: ELITE FOOT & ANKLE
  • Address: 4222 TRINITY MILLS ROAD
    112
    DALLAS, TX
    ZIP 75287
  • Phone: (214) 710-1028

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NPI Details

KELLVAN J CHENG, DPM, PA is a foot and ankle surgery podiatrist in Dallas, TX. KELLVAN J CHENG, DPM, PA NPI is 1134352289. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elite Foot & Ankle.

The provider's business location address is:

4222 TRINITY MILLS ROAD
112
DALLAS, TX
ZIP 75287-603
Phone: (214) 710-1028
Fax: (214) 710-1029

The provider's authorized official is Kellvan J Cheng .
The authorized official title is Foot & Ankle Surgeon / President and has the following contact phone number (214) 710-1028.

The enumeration date for this NPI number is 8/24/2009 and was last updated on 7/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery1763TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10A5316MEDICARE PIN
26356460001MEDICARE NSC
30042SVOTHERBLUE CROSS BLUE SHIELD
47127822OTHERAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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