Individual provider Active NPI

Chengliang Jiang

  • Acupuncturist
  • Waltham, MA
National Provider Identifier
1053182303
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
295348 Issued in MA
Practice address
907 Main St
Waltham, MA 02451-7415
Phone
(781) 642-6789
NPI assigned
Jan 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 295348 MA Primary

Addresses

Primary practice location

907 Main St
Waltham, MA 02451-7415

Mailing address

393 VFW Pkwy
Chestnut Hill, MA 02467-3717
Phone (617) 417-4585

Other practice location 1

72 Kneeland St Ste 303
Boston, MA 02111-1926
Phone (617) 417-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
295348MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acu&Moxa Essences Inc. Acupuncturist CurrentSince May 7, 2024 Accepting new patients
Pleasant Acupuncture LLC Acupuncturist Past Accepting new patients

Locations

72 Kneeland St
Ste 303
Boston, MA 02111
Phone (617) 417-4585

907 Main St
Waltham, MA 02451
Phone (781) 642-6789

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1053182303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 VFW PKWY",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673717",
            "telephone_number": "617-417-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517415",
            "telephone_number": "781-642-6789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Kneeland St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111926",
            "country_code": "US",
            "telephone_number": "617-417-4585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIANG",
        "first_name": "CHENGLIANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "295348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.