Active NPI
Xinyi Jiang, DMD
- General Practice Dentistry
- Menlo Park, CA
National Provider Identifier
1871951806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- LIC101903
- Practice address
- 724 Oak Grove Ave
Menlo Park, CA 94025-4361 - Phone
- (650) 838-0260
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | LIC101903 | CA | Primary |
Addresses
Primary practice location
724 Oak Grove Ave
Menlo Park, CA 94025-4361
Mailing address
1582 Winding Way
Belmont, CA 94002-1953
Phone (765) 237-2036
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LIC101903 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1871951806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1582 WINDING WAY",
"city": "BELMONT",
"state": "CA",
"postal_code": "940021953",
"telephone_number": "765-237-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 OAK GROVE AVE",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254361",
"telephone_number": "650-838-0260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIANG",
"first_name": "XINYI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "LIC101903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.