Jiangyun Sheng, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

03853 Issued in NH

Practice address

159 Samoset St
Suite 5
Plymouth, MA 02360-4815

Phone

(508) 746-4456

Fax

(508) 927-2055

NPI assigned

Jul 25, 2011

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 MA

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

State licenses

Practice roles

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.

• Samoset Family Dental, P.C.

  • Dentist
  • Plymouth, MA
  • NPI 1205220134
  NPD (past) Authorized official

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1164700266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NORTHAMPTON ST APT 2003",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184020",
            "telephone_number": "617-279-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 SAMOSET ST",
            "address_2": "SUITE 5",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604815",
            "telephone_number": "508-746-4456",
            "fax_number": "508-927-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENG",
        "first_name": "JIANGYUN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Ann Shaw
• Shaws Supermarkets Inc (Shaws Pharmacy #2585)
• Melissa Lynn Shea, LMHC
• Jamie Lyn Sheaffer, MS, OTR/L
• Erin Marie Shekane
• Janet M Shepard, NP
• Shannon Marie Sheridan
• Christopher James Shestak, M.D.
• Mary Lou Shewchuk, LICSW
• Fallon Shields

• General Practice Dentistry in Plymouth, MA
• Providers in Plymouth, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.