South California Dental Practice

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47858 Issued in CA

Legal business name

SOUTH CALIFORNIA DENTAL PRACTICE

Practice address

40 S California St
Stockton, CA 95202-3004

Phone

(209) 941-0814

Fax

(209) 941-0815

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chee Chiang Chang, DDS

Title

Owner Dentist

Phone

(209) 941-0814

Specialties & licenses 1

Addresses

Other names 1

• south california dental practice Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wei-Chiang Hu, DDS

  • Dentist
  • Stockton, CA
  • NPI 1265541478
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114090677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023004",
            "telephone_number": "209-941-0814",
            "fax_number": "209-941-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023004",
            "telephone_number": "209-941-0814",
            "fax_number": "209-941-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CALIFORNIA DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHEE CHIANG",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "209-941-0814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "south california dental practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lian Soung, M.D.
• Lina Soung
• Jasmine Sourivong
• Sokchear S Sous-Figueroa
• Hannah Anne Sousa
• South California Dental Practice
• South Stockton Circle of Friends Adult Alcohol and Drug Treatment Fac.
• Analucia Souza
• Sylvia Souza
• Mikhayla Tanwa Sowemimo

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, 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 Aug 22, 2020; 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.