James P Chiang, JAMES CHIANG D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-019956 Issued in IL

Practice address

106 19TH Ave
Suite #90
Moline, IL 61265-3700

Phone

(309) 277-6567

Fax

(309) 764-1402

NPI assigned

Jul 23, 2008

Last updated

Mar 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. James P Chiang Professional name

Medicare fee-for-service enrollment

Enrolled in IL

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Best Smiles Family Dental, LLC

  • General Practice Dentistry
  • Moline, IL
  • NPI 1639446677
  NPD (past)
• Secure Dental LLC

  • Dentist
  • Peoria, IL
  • NPI 1154607422
  NPD (past)
• Secure Dental II, LLC

  dba Secure Dental Davenport

  • Dentist
  • Davenport, IA
  • NPI 1902258379
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1376708875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 19TH AVE",
            "address_2": "SUITE #90",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653700",
            "telephone_number": "309-277-6567",
            "fax_number": "309-764-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 19TH AVE",
            "address_2": "SUITE #90",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653700",
            "telephone_number": "309-277-6567",
            "fax_number": "309-764-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "JAMES CHIANG D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-019956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "CHIANG",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "JAMES CHIANG D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily Cetanyan, LSW
• Kevin Chanez, PHARMD
• Prasan Chariya, M.D.
• Dewat R Chaudhry, M.D
• Hogeun CHI
• Nicole M Chickris-Bollaert, MD
• Child & Family Psychology Center PC
• Poonputt Chotiprasidhi, M.D.
• Kimberly A Christensen, OTR/L
• Ronald G. Christensen, ED.D; CADC

• General Practice Dentistry in Moline, IL
• Providers in Moline, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.