NPIMap

Organization Active NPI

Yjschang Enterprises, PC

  • General Practice Dentistry
  • Leominster, MA
National Provider Identifier
1093161432
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18617 Issued in MA
Legal business name
YJSCHANG ENTERPRISES, PC
Practice address
105 N Main St
Leominster, MA 01453-5507
Phone
(978) 537-3570
Fax
(978) 448-3399
NPI assigned
May 4, 2016
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Dr. Yuric Jui-Shih Chang, D.M.D.NPI 1730295890
Title
Ownwer/Ceo
Phone
(978) 537-3570

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 Dentistry 1223G0001X 18617 MA Primary

Addresses

Primary practice location

105 N Main St
Leominster, MA 01453-5507

Mailing address

105 N. Main Street
Leominster, MA 01453
Phone (978) 537-3570

National Provider Directory

National Provider Directory

Locations

105 N Main St
Leominster, MA 01453
Phone (978) 537-3570

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": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1093161432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N. MAIN STREET",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-537-3570",
            "fax_number": "978-448-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535507",
            "telephone_number": "978-537-3570",
            "fax_number": "978-448-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YJSCHANG ENTERPRISES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YURIC",
        "authorized_official_middle_name": "JUI-SHIH",
        "authorized_official_title_or_position": "OWNWER/CEO",
        "authorized_official_telephone_number": "978-537-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

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