Shih Mei Josephine Chiang, D.D.S., M.S.
Individual provider Active NPI Periodontics · Methuen, MA
NPI 1740214907 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740214907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 19424 (MA)
- Practice address
- 13 Branch St
Suite 212
Methuen, MA 01844-1975 - Phone
- (978) 989-0777
- Fax
- (978) 989-0779
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151223001278 | MA | Order and Referring Only - Dentist |
0244531879 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Periodontal Health Care P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 19424 | MA | Yes |
Addresses
Primary practice location
13 Branch St
Suite 212
Methuen, MA 01844-1975
Mailing address
13 Branch St
Suite 212
Methuen, MA 01844-1975
Phone (978) 989-0777
Other providers in Methuen, MA
- Anjana Chakrabarti
- Laurie L Charles
- Luyao Chen
- Mara-Hiley Chery
- Joey Cheung
- Child Health Center, Inc
- Peter W Choo
- Christine Ntapalis, D.M.D., P.C.
- Christopher J. Berard, D.C.
- Lisa Ciesielski
All providers in Methuen, MA · Periodontics in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.