Organization Active NPI

Su-Wen Chang, D.D.S., P.C.

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1033143987
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5807 Issued in AZ
Legal business name
SU-WEN CHANG, D.D.S., P.C.
Practice address
350 S Williams Blvd
#240
Tucson, AZ 85711-4496
Phone
(520) 748-8186
Fax
(520) 514-7518
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Su-Wen Chang, D.D.S.NPI 1073722831
Title
President
Phone
(520) 748-8186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5807 AZ Primary

Addresses

Primary practice location

350 S Williams Blvd
#240
Tucson, AZ 85711-4496

Mailing address

350 S Williams Blvd
#240
Tucson, AZ 85711-4496
Phone (520) 748-8186

National Provider Directory

National Provider Directory

Locations

350 S Williams Blvd
#240
Tucson, AZ 85711
Phone (520) 748-8186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1033143987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S WILLIAMS BLVD",
            "address_2": "#240",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114496",
            "telephone_number": "520-748-8186",
            "fax_number": "520-514-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S WILLIAMS BLVD",
            "address_2": "#240",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114496",
            "telephone_number": "520-748-8186",
            "fax_number": "520-514-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU-WEN CHANG, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SU-WEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-748-8186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.