NPIMap

Organization Active NPI

Jonathan Chang DDS PC

  • Dentist
  • Dunn Loring, VA
National Provider Identifier
1083724926
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410641 Issued in VA
Legal business name
JONATHAN CHANG DDS PC
Practice address
2301 Gallows Rd Ste 215
Dunn Loring, VA 22027
Phone
(703) 560-6500
Fax
(703) 560-6502
NPI assigned
Aug 30, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Mrs. Jane J Chang
Title
Office Manager
Phone
(703) 560-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401410641 VA Primary

Addresses

Primary practice location

2301 Gallows Rd Ste 215
Dunn Loring, VA 22027

Mailing address

2301 Gallows Rd Ste 215
Dunn Loring, VA 22027
Phone (703) 560-6500

National Provider Directory

National Provider Directory

Locations

2301 Gallows Rd
Ste 215
Dunn Loring, VA 22027
Phone (703) 560-6500

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1083724926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 GALLOWS RD STE 215",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "22027",
            "telephone_number": "703-560-6500",
            "fax_number": "703-560-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GALLOWS RD STE 215",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "22027",
            "telephone_number": "703-560-6500",
            "fax_number": "703-560-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN CHANG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-560-6500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn Loring, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.