Jean Jiang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D.007354-C1 Issued in AL

Practice address

711 Kornegay Dr
Prattville, AL 36066-7715

Phone

(334) 285-7111

NPI assigned

Jun 1, 2023

Last updated

Jul 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1689367864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 MOUNTAIN DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261581",
            "telephone_number": "205-261-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 KORNEGAY DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667715",
            "telephone_number": "334-285-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "JEAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.007354-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren James, M.D.
• Rodney Leroy James, D.C.
• Melissa Rae Jarnot
• Jarvis Dental PLLC
• Tabitha Jester
• JMS Health Services, LLC
• John J Richards MD PC
• Fatima Jewan Johnson
• Holli Hinote Johnson, CRNP
• Melissa Johnson, CRNP

• General Practice Dentistry in Prattville, AL
• Providers in Prattville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.