Active NPI
Chuenchie Chiang, D.M.D., M.S
- Orthodontics and Dentofacial Orthopedics Dentistry
- Elk Grove, CA
National Provider Identifier
1730313677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 60246
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5759 | NV | MD | General Practice Dentistry |
| 60246 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | 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
- 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.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Otolaryngology Physician
- Sacramento, CA
- NPI 1750374872
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2013; 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.