Individual provider Active NPI

Jennifer Chiang, DDS

  • Dentist
  • Sunnyvale, CA
National Provider Identifier
1275769838
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59628 Issued in CA
Practice address
333 W Maude Ave Ste 107
Sunnyvale, CA 94085-4367
Phone
(408) 523-4030
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59628 CA Primary

Addresses

Primary practice location

333 W Maude Ave Ste 107
Sunnyvale, CA 94085-4367

Mailing address

333 W Maude Ave Ste 107
Sunnyvale, CA 94085-4367
Phone (408) 523-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150709001478 CA Order and Referring Only - DentistPractitioner - Dentist 6608188313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59628CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Chiang, DDS, Inc CurrentSince Aug 4, 2024 Accepting new patients

Locations

877 W Fremont Ave
Ste D2
Sunnyvale, CA 94087
Phone (408) 523-4030

333 W Maude Ave
Ste 107
Sunnyvale, CA 94085
Phone (408) 523-4030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1275769838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W MAUDE AVE STE 107",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854367",
            "telephone_number": "408-523-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W MAUDE AVE STE 107",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854367",
            "telephone_number": "408-523-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "JENNIFER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2024-08-01",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.