Ching-Ju Jenny Chang, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

19068 Issued in MA

Practice address

19 Common St
Natick, MA 01760-4713

Phone

(508) 653-6771

Fax

(508) 653-5654

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cape Cod Dental Group

  • Dentist
  • West Harwich, MA
  • NPI 1578343240
  NPD Authorized official
• Luludental, P.C.

  • Dental Clinic/Center
  • Framingham, MA
  • NPI 1356826788
  NPD Authorized official
• Natick Common Dental Center, P.C.

  • Prosthodontics
  • Natick, MA
  • NPI 1962626556
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053433987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 COMMON ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604713",
            "telephone_number": "508-653-6771",
            "fax_number": "508-653-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 COMMON ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604713",
            "telephone_number": "508-653-6771",
            "fax_number": "508-653-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CHING-JU",
        "middle_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "19068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cfo Retail Services, LLC
• Aurobindo Chakraborty, M.D.
• Jon Chalmers
• Cynthia Chamberlain, LICSW
• Bhavana Chandradhara, DMD
• Hui-Ju Chang
• Maria Chang
• Courtney Chapin
• Jennifer Charette
• Charles River Ear, Nose & Throat Associates, P. C.

• Prosthodontics in Natick, MA
• Providers in Natick, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.