Active NPI
Jong-Raye Liang, DDS
- Dentist
- Noblesville, IN
National Provider Identifier
1780963264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12011719A
- Practice address
- 9779 E 146TH St Ste 100
Noblesville, IN 46060-4327 - Phone
- (317) 219-3099
- NPI assigned
- Aug 15, 2011
- 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 | 12011719A | IN | Primary |
Addresses
Primary practice location
9779 E 146TH St Ste 100
Noblesville, IN 46060-4327
Mailing address
281 Sanders Creek Pkwy
East Syracuse, NY 13057-1307
Phone (315) 454-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011719A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JKL Dental | Current | Accepting new patients | |
| Gebru Dental, LLC | General Practice | Past | Accepting new patients |
Locations
9779 E 146th St
Ste 100
Noblesville, IN 46060
Phone (317) 219-3099
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1184510323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1780963264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 SANDERS CREEK PKWY",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571307",
"telephone_number": "315-454-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9779 E 146TH ST STE 100",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604327",
"telephone_number": "317-219-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "JONG-RAYE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-15",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011719A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.