Shan Jiang

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35390 Issued in TX

Practice address

12344 Inwood Rd
Dallas, TX 75244-8023

Phone

(214) 382-4991

NPI assigned

Jun 24, 2019

Last updated

Mar 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Goldnyears Health PLLC

  dba GoldnYears Dental

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1881278364
  Authorized official Same address or phone

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1144881913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 ERIKSSON LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045011",
            "telephone_number": "214-436-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12344 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448023",
            "telephone_number": "214-382-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 Villa Creek Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752347462",
            "country_code": "US",
            "telephone_number": "214-674-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIANG",
        "first_name": "SHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changchuan Jiang, M.D, MPH
• Da-Shu Jiang, MD
• Haipei Jiang, PHARMD
• Jessie Wang Jiang, MD
• Meiyan Jiang
• Zhixin Jiang, PA-C
• Rhoda Jiao
• Zexu Jiao, MD, PH.D., HCLD(ABB)
• Jife Luxury Car Service LLC (JIFE Luxury Car Service)
• Shantel Keisha Jiggetts

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.