Jonathan Y Chiang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019-026320 Issued in IL

Practice address

9169 Coors Rd. NW
Albuquerque, NM 87193

Phone

(505) 733-8440

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1598768129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 BOBCAT HILL PL. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871118053",
            "telephone_number": "808-554-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9169 COORS RD. NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87193",
            "telephone_number": "505-733-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "JONATHAN",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-026320",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5538443-9921/8903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45076880",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Cheyne, M.A., L.P.C.C.
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• Regina CHI, PHARM D
• Charles Chiang, M.D.
• Christina Yi Chiang, MD
• Jacob J Chicas
• Crystal Chick, AGPC-NP-BC
• Kevin Chick, DC
• Chris Chickering
• Ifeoma Chiegboka

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.