Jia Tian, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

102957 Issued in CA

Practice address

393 Blossom Hill Rd Ste 150
San Jose, CA 95123

Phone

(408) 629-3366

NPI assigned

Aug 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1629557152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231655",
            "telephone_number": "510-901-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "408-629-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2762 Pinole Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Pinole",
            "state": "CA",
            "postal_code": "94564",
            "country_code": "US",
            "telephone_number": "310-985-1029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "393 Blossom Hill Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951231655",
            "country_code": "US",
            "telephone_number": "408-629-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIAN",
        "first_name": "JIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "102957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy Tuong Nguyen MD Medical Corporation
• Thuy-Trang Nguyen OD, Inc.
• Thuyvy Le Inc
• Hnin Thuzar
• Azeleah Carla Tiamson
• Jingze Tian
• Yuan Tian, L.AC, DTCM, CPT
• Dale Tibbils
• Robert Ticzon, R.N.
• Tien Manh Tran DDS, Inc.

• Public Health Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.