Leo Yuwei Chang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103881 Issued in CA

Practice address

20410 Town Center LN Ste 190
Cupertino, CA 95014-3230

Phone

(415) 534-9479

NPI assigned

Jul 8, 2019

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

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1104488394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 MELISSA CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984701",
            "telephone_number": "210-685-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 TOWN CENTER LN STE 190",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143230",
            "telephone_number": "415-534-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "LEO",
        "middle_name": "YUWEI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chang Dental Corporation
• Chan Alexandra Chang, DDS, MS
• Charles Chang, LMFT
• Cheryl Chang
• Jessica Ten Roen Chang, PHARM.D.
• Ming-Feng Chang, D.D.S.
• Sheng Yung Chang, L.AC
• Shih Yu Chang
• Tiffany W. Chang, OD
• Yi Shou Chang, LAC

• General Practice Dentistry in Cupertino, CA
• Providers in Cupertino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.