Individual provider Active NPI

Min Liu Simmons

  • Dentist
  • Claremont, NH
National Provider Identifier
1538516109
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
04346 Issued in NH
Practice address
1 Tremont St
Claremont, NH 03743-2654
Phone
(603) 287-1300
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 04346 NH Primary

Addresses

Primary practice location

1 Tremont St
Claremont, NH 03743-2654

Mailing address

21 Spencer St
Lebanon, NH 03766-6317

Other practice location 1

100 Woods Road,
Westchester Medical Center,
Valhalla, NY 33324-1059
Phone (850) 345-0119

Other names 1

  • Min Jiang Professional name

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
04346NHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538516109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPENCER ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037666317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TREMONT ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432654",
            "telephone_number": "603-287-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Road,",
            "address_2": "Westchester Medical Center,",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "333241059",
            "country_code": "US",
            "telephone_number": "850-345-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU SIMMONS",
        "first_name": "MIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIN",
            "last_name": "JIANG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Claremont, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.