Individual provider Active NPI

Chuenchie Chiang, D.M.D., M.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elk Grove, CA
National Provider Identifier
1730313677
Registry record updated Apr 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
60246 Issued in CA
Practice address
8760 Center Pkwy
G343
Elk Grove, CA 95758-8438
Phone
(702) 677-2077
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5759 NV
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 60246 CA Primary

Addresses

Primary practice location

8760 Center Pkwy
G343
Elk Grove, CA 95758-8438

Mailing address

8760 Center Pkwy
G343
Elk Grove, CA 95758-8438
Phone (702) 677-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000634 CA Practitioner - Otolaryngology 4587806963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
5759NVMDGeneral Practice Dentistry
60246CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince May 26, 2013 Accepting new patients
Regents of the Univ of Ca CurrentSince May 26, 2013 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients

Locations

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

Interoperability endpoints

  • Direct secure messaging: cchiang@direct.westerndental.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366502400000",
    "number": "1730313677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 CENTER PKWY",
            "address_2": "G343",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588438",
            "telephone_number": "702-677-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8760 CENTER PKWY",
            "address_2": "G343",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588438",
            "telephone_number": "702-677-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "CHUENCHIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2013-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5759",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "60246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.