Tiffany Kuang, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02565400 Issued in NJ

Practice address

489 Main St Ste C
Groton, MA 01450-1388

Phone

(978) 708-0080

Fax

(978) 708-0081

NPI assigned

Feb 4, 2013

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment NPD
• New England Oral and Facial Surgery

  • Dental Clinic/Center
  • Groton, MA
  • NPI 1609470152
  NPD Authorized official
• New Jersey Center for Oral & Maxillofacial Surgery

  dba COSA/Costello Oral Surgery Associates, LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Maywood, NJ
  • NPI 1619221827

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1083953533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MAIN ST STE C",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501388",
            "telephone_number": "516-304-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MAIN ST STE C",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501388",
            "telephone_number": "978-708-0080",
            "fax_number": "978-708-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUANG",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2022-07-13",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02565400",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02565400",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindred Smiles Pediatric Dentistry LLC
• Marisa Dawn King, OTR/L
• Steven Mark Kleeman, A.T.C.
• Klipp Scollard Clinical Associates
• Dianne M Klipp Scollard, PHD
• Li Lynn Kynvi, MDIV,MA, MT-BC, LMHC
• Micah Lacombe, MA
• Jayne Laurin Kinney, NP
• Marie D Leisten, SLP
• Alice Lenhart, LMHC

• Oral and Maxillofacial Surgery (Dentist) in Groton, MA
• Providers in Groton, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.