Active NPI
Helen Mi Jang, D.D.S
- Dentist
- Chattanooga, TN
National Provider Identifier
1629283403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10946
- Practice address
- 3918 Tennessee Ave
Ste 300
Chattanooga, TN 37409 - Phone
- (423) 821-9771
- NPI assigned
- May 14, 2007
- Last updated
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00010512 | WA | |
| Dentist | 122300000X | 10946 | TN | Primary |
Addresses
Primary practice location
3918 Tennessee Ave
Ste 300
Chattanooga, TN 37409
Mailing address
8811 Ooltewah Georgetown Rd
Ooltewah, TN 37363
Phone (423) 774-0494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003290862A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010512 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1629283403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 OOLTEWAH GEORGETOWN RD",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "37363",
"telephone_number": "423-774-0494",
"fax_number": "253-983-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 TENNESSEE AVE",
"address_2": "STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37409",
"telephone_number": "423-821-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "HELEN",
"middle_name": "MI",
"name_prefix": "Mrs.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00010512",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003290862A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.