Kenneth Yk Chang

Primary specialty

DentistTaxonomy code 122300000X

License

AK493 Issued in AK

Practice address

9500 Independence Dr
#700
Anchorage, AK 99507

Phone

(907) 522-1685

Fax

(907) 349-9984

NPI assigned

Mar 6, 2007

Last updated

Sep 30, 2016By the provider in NPPES

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 AK

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth Y K Chang Accent on Dentistry

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1861948754
  Authorized official Same address or phone
• Anchor Eruption Enterprises LLC

  dba Algone Anchorage Interventional Pain

  • Pain Medicine (Anesthesiology) Physician
  • Anchorage, AK
  • NPI 1700343514
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1114056843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 INDEPENDENCE DR",
            "address_2": "#700",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99507",
            "telephone_number": "907-522-1685",
            "fax_number": "907-349-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 INDEPENDENCE DR",
            "address_2": "#700",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99507",
            "telephone_number": "907-522-1685",
            "fax_number": "907-349-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KENNETH",
        "middle_name": "YK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "AK493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon H Chandler Jr., MD
• Erin Chanel
• Bob E Chaney, PHD
• Deanna Shandon Chaney, LCSW
• Eugene M Chang, M.D.
• Changes West, LLC
• Changing Faces Inc.
• Changing Tides Child and Family Enrichment Center (Changing Tides)
• Juan Chapa, MS, CDC I
• Amanda Chapman

• Dentist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.