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KANTIDARA PARAMITA TJIANG DMD
NPI 1124510540
Student in an Organized Health Care Education/Training Program in Holyoke, MA

Active since June 01, 2018PECOS Enrolled
48 HOLY FAMILY RD APT 214, HOLYOKE, MA 01040(334) 475-1831 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kantidara Paramita Tjiang Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANTIDARA PARAMITA TJIANG DMD (NPI 1124510540) is an individual student in an organized health care education/training program in Holyoke, Massachusetts and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124510540
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKANTIDARA PARAMITA TJIANGCredential: DMD
Location Address48 HOLY FAMILY RD APT 214Holyoke, MA 01040-2769
Mailing Address48 Holy Family Rd Apt 214Holyoke, MA 01040-2769
Phone(334) 475-1831
Sole ProprietorNo
Enumeration DateJune 1, 2018
✔ NPI 1124510540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
48 HOLY FAMILY RD APT 214, Holyoke, MA 01040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kantidara Paramita Tjiang Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kantidara Tjiang's NPI number?

The NPI number for Kantidara Tjiang is 1124510540. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Kantidara Tjiang located?

Kantidara Tjiang practices at 48 Holy Family Rd Apt 214, Holyoke, MA 01040. The listed phone number is (334) 475-1831.

What is Kantidara Tjiang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kantidara Tjiang enrolled in Medicare?

Yes. Kantidara Tjiang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kantidara Tjiang was last updated on June 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.