Active NPI
Jonathan Kuang, DMD
- Dentist
- Dorchester, MA
National Provider Identifier
1700301280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL13351
- Practice address
- 1353 Dorchester Ave
Dorchester, MA 02122-2932 - Phone
- (617) 288-3230
- NPI assigned
- Aug 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL13351 | MA | Primary |
Addresses
Primary practice location
1353 Dorchester Ave
Dorchester, MA 02122-2932
Mailing address
601 Albany St
Boston, MA 02118-2771
Phone (617) 513-7335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180907002505 | MA | Order and Referring Only - Dentist | 0840540076 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL13351 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1700301280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182771",
"telephone_number": "617-513-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1353 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021222932",
"telephone_number": "617-288-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUANG",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL13351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.