Sangsoon Chang, D.O.M

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

960 Issued in NM

Practice address

2617 Juan Tabo Blvd NE
Albuquerque, NM 87112-2966

Phone

(505) 710-7504

NPI assigned

Nov 11, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1114171626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 NEW DAWN RD NE # RDNE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871224304",
            "telephone_number": "505-710-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122966",
            "telephone_number": "505-710-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SANGSOON",
        "name_prefix": "Dr.",
        "credential": "D.O.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Z. Chang, M.D.
• Michael Brian Chang, M.D.
• Pe Chang, D.D.S.
• Robert S. Chang, PH.D., A.B.M.P.
• Rossana Chang, M.D.
• Sedjenane Chang
• Shu-Ching Catherine Chang, DMD
• Vivianne Michelle Chang, DO
• Changing Lives LLC
• Changing Perspectives Youth and Family Services, LLC

• Acupuncturist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.