Individual provider Active NPI

Yu-Hsuen Jessica Chiang, BDS. DMD.

  • Pediatric Dentistry
  • San Mateo, CA
National Provider Identifier
1326277336
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
58418 Issued in CA
Practice address
118 De Anza Blvd
San Mateo, CA 94402-3987
Phone
(650) 898-1059
NPI assigned
Jul 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 58418 CA Primary

Addresses

Primary practice location

118 De Anza Blvd
San Mateo, CA 94402-3987

Mailing address

118 De Anza Blvd
San Mateo, CA 94402-3987
Phone (650) 898-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
58418CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiang Dental Group, Inc Pediatric Dentistry CurrentSince May 22, 2022 Accepting new patients
Y Chiang Dental Practice Inc Pediatric Dentistry Current Accepting new patients

Locations

118 De Anza Blvd
San Mateo, CA 94402
Phone (650) 898-1059

Organizations & group practices 2

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": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1326277336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DE ANZA BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023987",
            "telephone_number": "650-898-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DE ANZA BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023987",
            "telephone_number": "650-898-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "YU-HSUEN",
        "middle_name": "JESSICA",
        "credential": "BDS. DMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-11",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.