Kantidara Paramita Tjiang, DMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

48 Holy Family Rd Apt 214
Holyoke, MA 01040-2769

Phone

(334) 475-1831

NPI assigned

Jun 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1124510540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HOLY FAMILY RD APT 214",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HOLY FAMILY RD APT 214",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402769",
            "telephone_number": "334-475-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJIANG",
        "first_name": "KANTIDARA",
        "middle_name": "PARAMITA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Tierney, NP
• Jannah Tierney
• Karen Grace Tierney, ED.D.
• Tayri Tirado Flores
• Amie Tivnan
• Paula Sue Tofte, APRN, CNP, PMHNP
• Carolyn S Tolley, M.D.
• Dorothy J Tolls, O.D.
• Jasmyn Toombs
• Monica F. Toomey, LCSW

• Student in an Organized Health Care Education/Training Program in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.