Active NPI
Jin-Nyung Chang
- Dentist
- Worcester, MA
National Provider Identifier
1003114018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1855615
- Practice address
- 129 Lincoln St
Worcester, MA 01605-2402 - Phone
- (508) 754-5891
- NPI assigned
- Mar 1, 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 | DN1855615 | MA | Primary |
Addresses
Primary practice location
129 Lincoln St
Worcester, MA 01605-2402
Mailing address
325 Speen St Apt 607
Natick, MA 01760-1566
Phone (617) 913-8354
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 |
|---|---|---|---|
| DN1855615 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jin N Chang DMD PLLC | Current | Accepting new patients |
Networks
- WA PPO C-SNP
Organizations & group practices 1
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
- Marysville, WA
- NPI 1447108709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1003114018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 SPEEN ST APT 607",
"city": "NATICK",
"state": "MA",
"postal_code": "017601566",
"telephone_number": "617-913-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052402",
"telephone_number": "508-754-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JIN-NYUNG",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1855615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.