Organization Active NPI

Alexander Chang, DDS, Inc.

Doing business as Formosa Dental Arts

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1053712356
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALEXANDER CHANG, DDS, INC.
Doing business as
Formosa Dental Arts
Practice address
14200 Culver Dr
Suite 290
Irvine, CA 92604-0312
Phone
(949) 891-2871
NPI assigned
Sep 6, 2014
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Alexander ChangNPI 1881966174
Title
President/Owner
Phone
(949) 891-2871

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 Primary

Addresses

Primary practice location

14200 Culver Dr
Suite 290
Irvine, CA 92604-0312

Mailing address

305 Berkshire
Irvine, CA 92620-2164
Phone (949) 891-2871

Other names 1

  • FORMOSA DENTAL ARTS Doing business as

National Provider Directory

National Provider Directory

Locations

14200 Culver Dr
Ste 290
Irvine, CA 92604
Phone (714) 613-3362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1053712356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BERKSHIRE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202164",
            "telephone_number": "949-891-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 CULVER DR",
            "address_2": "SUITE 290",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040312",
            "telephone_number": "949-891-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER CHANG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-06",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-891-2871",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORMOSA DENTAL ARTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.