Peter Zhimin Tian, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19783 Issued in MA

Practice address

842 Massachusetts Ave
Cambridge, MA 02139-3004

Phone

(617) 864-1600

Fax

(617) 864-6030

NPI assigned

Dec 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Zhimin Tian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dr.Peter Tian

  • General Practice Dentistry
  • Cambridge, MA
  • NPI 1447421177
  NPD (past) Authorized official

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912062696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393004",
            "telephone_number": "617-864-1600",
            "fax_number": "617-864-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393004",
            "telephone_number": "617-864-1600",
            "fax_number": "617-864-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIAN",
        "first_name": "PETER",
        "middle_name": "ZHIMIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZHIMIN",
            "last_name": "TIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Three Pathways
• Robin Thulin, PT
• Shannon Kathleen Marie Thumann, MSW, LCSW
• Lauren Thurber, BSN RN
• Tami Olive Tiamfook-Morgan, M.D.
• Rachel A Tiano, PA-C
• Taia Maria Tieland, PA-C
• Geneva R. Tiggle, LICSW
• Megan Tiley
• Arno William Tilles, MD

• General Practice Dentistry in Cambridge, MA
• Providers in Cambridge, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.