Individual provider Active NPI

Helen Mi Jang, D.D.S

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1629283403
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10946 Issued in TN
Practice address
3918 Tennessee Ave
Ste 300
Chattanooga, TN 37409
Phone
(423) 821-9771
NPI assigned
May 14, 2007
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003290862AMedicaidGA

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
DE00010512WAMDDentist

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.

Verify at the official NPI Registry.