Individual provider Active NPI

Wei Yen Chang, D.D.S.

  • General Practice Dentistry
  • Roswell, GA
National Provider Identifier
1073849014
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013974 Issued in GA
Practice address
415 E Crossville Rd
Ste. a
Roswell, GA 30075-7626
Phone
(678) 461-3875
Fax
(678) 461-3877
NPI assigned
Oct 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 013974 GA Primary

Addresses

Primary practice location

415 E Crossville Rd
Ste. a
Roswell, GA 30075-7626

Mailing address

415 E Crossville Rd
Suite a
Roswell, GA 30075-7626
Phone (678) 461-3875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013974GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chang Healthcare Association, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1073849014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E CROSSVILLE RD",
            "address_2": "SUITE A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757626",
            "telephone_number": "678-461-3875",
            "fax_number": "678-461-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E CROSSVILLE RD",
            "address_2": "STE. A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757626",
            "telephone_number": "678-461-3875",
            "fax_number": "678-461-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WEI YEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "013974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.