David Chang

Primary specialty

DentistTaxonomy code 122300000X

License

63973 Issued in CA

Practice address

20439 Sherman Way
Winnetka, CA 91306-3109

Phone

(818) 883-3922

NPI assigned

Jun 4, 2015

Sex

Male

Sole proprietor

Yes

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 CA

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.

• David Chang DDS Inc

  • Dental Clinic/Center
  • Winnetka, CA
  • NPI 1164907739
  NPD (past) Authorized official

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1083094064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20439 SHERMAN WAY",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063109",
            "telephone_number": "818-883-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20439 SHERMAN WAY",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063109",
            "telephone_number": "818-883-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care for You Hospice, Inc
• Carolina G. Pablo, DDS a Prof. Dental Corp.
• Brenda Ceja
• Sanam Chadrouz
• Chana Grace Congregate Living Inc.
• Patrick Chung, CMT
• Miriam Cid
• Reginald Alvin Coates, MD
• Communal Health Medical Group PC
• Consuelo Palacios DDS Dental Corporation.

• All providers in Winnetka, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.