Daniel W. Jiang, DMD, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

DANIEL W. JIANG, DMD, PC

Practice address

84 High St Ste 204
Medford, MA 02155-3844

Phone

(781) 395-2000

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Jiang, DMDNPI 1972971992

Title

President

Phone

(617) 803-1365

Specialties & licenses 1

Addresses

Other names 1

• Medford Periodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Jiang, D.M.D. , M.M.SC

  • Periodontics
  • Concord, MA
  • NPI 1972971992
  NPD Authorized official
• Paul Frank Levy, DDS

  • Periodontics
  • Medford, MA
  • NPI 1891861498
  NPD (past)

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1134867815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HIGH ST STE 204",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HIGH ST STE 204",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553844",
            "telephone_number": "781-395-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL W. JIANG, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-803-1365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medford Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Giovanni A D'Ambrosio, M.D.
• Joseph S D'Amico, LICSW
• Christine Marie D'Angeli-Iarrobino, RN
• Tiffany Marie D'Ortona, CNP
• Dan Seligman
• Kristen Taylor Dansereau
• Mary Helen Darcy, NP
• Dava Davainis, MSW, LICSW
• David M. Petrarca, DDS & Sungyon Bang, DMD, P.C.
• Mario Jose Davila

• Periodontics in Medford, MA
• Providers in Medford, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.