JACK CHIANG (NPI# 1528463825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528463825 |
| Entity Type | Individual |
| Full Name | JACK CHIANG |
| Credential | DDS |
| Practice Address |
840 Se Bishop Blvd Ste 204 Pullman WA 99163-5502 |
| Practice Telephone | 5093323213 |
| Practice Fax Number | 5093326262 |
| Mailing Telephone | 5093323213 |
| Mailing Fax Number | 5093326262 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8759 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1019711 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790040228 | Jack C Chiang | Dentist | 387 Quarry Street, Suite 100, Fall River, MA 02723-1007 | 2012-07-10 |
| Street Address |
840 SE BISHOP BLVD STE 204 |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795486 | Alan S Unis | Psychiatry & Neurology | 840 Se Bishop Blvd, Suite 203, Pullman, WA 99163-5502 | 2006-07-04 |
| 1255623732 | Jarrett Edward Stewart Riley | Pediatrics | 840 Se Bishop Blvd, Suite #101, Pullman, WA 99163-5502 | 2011-05-03 |
| 1528399672 | Palouse Psychiatry and Behavioral Health | Nurse Practitioner | 840 Se Bishop Blvd, Suite 203, Pullman, WA 99163-5502 | 2010-01-28 |
| 1346431863 | Brandon J Cridlebaugh | Physical Therapist | 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 | 2007-08-08 |
| 1104844265 | Laura Nakata Vannucci | Physical Therapist | 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 | 2006-07-17 |
| 1457379513 | Robert Timothy Bashaw | Physical Therapist | 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 | 2006-07-17 |
| 1720012065 | Proformance Physical Therapy, LLC | Physical Therapist | 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 | 2006-07-11 |
| 1336173681 | Troy Thomas Vannucci | Physical Therapist | 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200099 | Tyler David Sykes | Dentist | 650 Se Bishop Blvd Ste 200, Pullman, WA 99163-5966 | 2020-03-17 |
| 1144546102 | Jonathan M. Fairbanks, D.d.s., Pllc | Dentist | 1410 Se Bishop Blvd # 1s, Pullman, WA 99163-5419 | 2010-04-15 |
| 1386857894 | Kurt J Markuson | Dentist | 1646 S Grand Ave, Pullman, WA 99163-4906 | 2007-05-08 |
| 1699849471 | Marcus N Torrey | Dentist | 1205 Se Professional Mall Blvd Ste 201, Pullman, WA 99163-5423 | 2006-11-20 |
| 1184713208 | Delbert Rohn | Dentist | 1205 S.e.pro-mall Blvd., Suite #201, Pullman, WA 99163 | 2006-10-12 |
| 1821003237 | Pullman Family Dentistry Pllc | Dentist | 840 Se Bishop Blvd Ste 204, Pullman, WA 99163-5502 | 2006-07-31 |
| 1851305197 | Alfred M. Fairbanks | Dentist | 1410 Se Bishop Blvd, Pullman, WA 99163-5419 | 2006-07-29 |
| 1558347815 | Daniel J Hammond | Dentist | 1260 Se Bishop Blvd, Suite A, Pullman, WA 99163-5451 | 2005-12-19 |
| 1013431915 | Sarah Rachel Mcdonald | Dentist | 1410 Se Bishop Blvd, Pullman, WA 99163-5419 | 2017-08-01 |
| 1518272418 | Jonathan B Fisher, Dds,pllc | Dentist | 1205 Se Professional Mall Blvd, Suite 201, Pullman, WA 99163-5423 | 2010-08-16 |
| Find all providers in PULLMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.