Chang Hyun NA, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010337 Issued in CT

Practice address

300 Hemingway Ave
East Haven, CT 06512-3000

Phone

(203) 469-5644

Fax

(203) 469-1067

NPI assigned

Oct 13, 2010

Sex

Male

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 CT

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

Interoperability endpoints

• Direct secure messaging: cna577472@direct.ochin.org

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.

• South-West Community Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgeport, CT
  • NPI 1699703686
  NPD (past)
• Star Dental LLC

  • General Practice Dentistry
  • East Haven, CT
  • NPI 1336471614
  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1053621995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEMINGWAY AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123000",
            "telephone_number": "203-469-5644",
            "fax_number": "203-469-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEMINGWAY AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123000",
            "telephone_number": "203-469-5644",
            "fax_number": "203-469-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NA",
        "first_name": "CHANG HYUN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Morman
• Jasmine Morrison
• Karlee Muller, OD
• Paulina Myers, B.S., PHARM.D
• Krista Myrick
• Dennis Joseph Nastri Sr., DC
• Keyonna Naughty
• Lisa Navarra, LICSW
• Althea C Neel, LPC
• Siaun Neou

• General Practice Dentistry in East Haven, CT
• Providers in East Haven, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.