Organization Active NPI

Jonathan C. Chang, M.D.

  • Community/Behavioral Health Agency
  • Monument, CO
National Provider Identifier
1033531256
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
50799 Issued in CO
Legal business name
JONATHAN C. CHANG, M.D.
Practice address
212 Washington St
Suite F
Monument, CO 80132-9173
Phone
(719) 505-9113
Fax
(888) 939-4319
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Jonathan Chang, M.D.NPI 1730391889
Title
Owner
Phone
(719) 505-9113

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
Community/Behavioral Health Agency 251S00000X 50799 CO Primary

Addresses

Primary practice location

212 Washington St
Suite F
Monument, CO 80132-9173

Mailing address

PO Box 2922
Monument, CO 80132-2922
Phone (719) 505-9113

National Provider Directory

National Provider Directory

Locations

212 Washington St
Ste F
Monument, CO 80132
Phone (719) 505-9113

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": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1033531256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2922",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801322922",
            "telephone_number": "719-505-9113",
            "fax_number": "888-939-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WASHINGTON ST",
            "address_2": "SUITE F",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329173",
            "telephone_number": "719-505-9113",
            "fax_number": "888-939-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN C. CHANG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-505-9113",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "50799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.