Individual provider Active NPI

Roy Hsiung Chang, DDS

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1114009644
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34313 Issued in CA
Practice address
7927 Painter Ave
Suite 100
Whittier, CA 90602-2414
Phone
(562) 945-1149
Fax
(562) 945-6071
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 34313 CA Primary

Addresses

Primary practice location

7927 Painter Ave
Suite 100
Whittier, CA 90602-2414

Mailing address

7927 Painter Ave
Suite 100
Whittier, CA 90602-2414
Phone (562) 945-1149

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160615001287 CA Order and Referring Only - DentistPractitioner - Dentist 5092006429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114009644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 PAINTER AVE",
            "address_2": "SUITE 100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022414",
            "telephone_number": "562-945-1149",
            "fax_number": "562-945-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 PAINTER AVE",
            "address_2": "SUITE 100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022414",
            "telephone_number": "562-945-1149",
            "fax_number": "562-945-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ROY",
        "middle_name": "HSIUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.