Active NPI
Hongqiu Chang, DDS
- Dentist
- Fowler, CA
National Provider Identifier
1124114095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52590
- Practice address
- 212 E. Merced St.
Fowler, CA 93625-2313 - Phone
- (559) 834-5313
- Fax
- (559) 834-5294
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 52590 | CA | Primary |
Addresses
Primary practice location
212 E. Merced St.
Fowler, CA 93625-2313
Mailing address
212 E. Merced St.
Fowler, CA 93625-2313
Phone (559) 834-5313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52590 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hongqiu Chang DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Fowler, CA
- NPI 1013262781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343433600000",
"number": "1124114095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E. MERCED ST.",
"city": "FOWLER",
"state": "CA",
"postal_code": "936252313",
"telephone_number": "559-834-5313",
"fax_number": "559-834-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E. MERCED ST.",
"city": "FOWLER",
"state": "CA",
"postal_code": "936252313",
"telephone_number": "559-834-5313",
"fax_number": "559-834-5294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "HONGQIU",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2012-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fowler, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.