Active NPI
Andy CHI Chang, DDS
- Prosthodontics
- Plano, TX
National Provider Identifier
1033133699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 18994
- Practice address
- 2831 W 15TH St
Plano, TX 75075-7527 - Phone
- (469) 208-9800
- Fax
- (469) 208-9800
- NPI assigned
- Jul 27, 2006
- Last updated
- Dec 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 18994 | TX | Primary |
Addresses
Primary practice location
2831 W 15TH St
Plano, TX 75075-7527
Mailing address
2831 W 15TH St Ste 100
Plano, TX 75075-7527
Phone (469) 208-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179019801 | Medicaid | TX |
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 |
|---|---|---|---|
| 18994 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sixth Dental Partner PLLC | Prosthodontics | Current | Accepting new patients |
| Western Dental | Past | Accepting new patients | |
| Elite Dental Group, PA | Prosthodontics | Past | Accepting new patients |
Locations
2831 W 15th St
Ste 100
Plano, TX 75075
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tesla Dentistry
- General Practice Dentistry
- Frisco, TX
- NPI 1396381398
Prosthodontics
-
- Prosthodontics
- Fort Worth, TX
- NPI 1972711794
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1548495443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1033133699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 W 15TH ST STE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750757527",
"telephone_number": "469-208-9800",
"fax_number": "469-208-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 W 15TH ST",
"city": "PLANO",
"state": "TX",
"postal_code": "750757527",
"telephone_number": "469-208-9800",
"fax_number": "469-208-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "ANDY",
"middle_name": "CHI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "18994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179019801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.