Michael W Chang DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8912 Issued in CO

Legal business name

MICHAEL W CHANG DDS

Doing business as

Michael W Chang DDS

Practice address

236 S 3Rd St
Ste E
Montrose, CO 81401-3618

Phone

(970) 306-4548

Fax

(720) 368-5095

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael W Chang, DDS

Title

Owner

Phone

(720) 505-6235

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Michael W Chang DDS Doing business as

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1023492386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S 3RD ST",
            "address_2": "STE E",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013618",
            "telephone_number": "970-306-4548",
            "fax_number": "720-368-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 S 3RD ST",
            "address_2": "STE E",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013618",
            "telephone_number": "970-306-4548",
            "fax_number": "720-368-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W CHANG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-505-6235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412359",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74405519",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02558294",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael W Chang DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Montrose, CO
• Providers in Montrose, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.