NPIMap

Organization Active NPI

Chien-Ching Juan, D.M.D., P.C.

Doing business as Mid-Cape Dental Center

  • General Practice Dentistry
  • Dennis, MA
National Provider Identifier
1396762092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20178 Issued in MA
Legal business name
CHIEN-CHING JUAN, D.M.D., P.C.
Doing business as
Mid-Cape Dental Center
Practice address
800 Main St
Dennis, MA 02638-1904
Phone
(508) 385-9992
Fax
(508) 385-0092
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chien-Ching Juan, DMDNPI 1821142423
Title
President/Owner
Phone
(508) 385-9992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20178 MA Primary

Addresses

Primary practice location

800 Main St
Dennis, MA 02638-1904

Mailing address

PO Box 605
Dennis, MA 02638-0605
Phone (508) 385-9992

Other identifiers 3

IdentifierTypeStateIssuer
41873OtherHARVARD PILGRIM
X12084OtherMABLUE CROSS BLUE SHIELD
01423816OtherUNITED CONCORDIA

Other names 1

  • Mid-Cape Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396762092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "DENNIS",
            "state": "MA",
            "postal_code": "026380605",
            "telephone_number": "508-385-9992",
            "fax_number": "508-385-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "DENNIS",
            "state": "MA",
            "postal_code": "026381904",
            "telephone_number": "508-385-9992",
            "fax_number": "508-385-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIEN-CHING JUAN, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUAN",
        "authorized_official_first_name": "CHIEN-CHING",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "508-385-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "41873",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X12084",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "01423816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Cape Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.