Mary Ann Chang, DMD, MDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6869 Issued in KS

Practice address

9314 E Central Ave
Wichita, KS 67206-2555

Phone

(316) 686-6565

Fax

(316) 866-2563

NPI assigned

Jan 9, 2006

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Mar 1, 2016 through Mar 1, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Lakepoint Dental Health & Aesthetics, P.a.

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1700900727
  NPD (past) Authorized official

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1134107121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062555",
            "telephone_number": "316-686-6565",
            "fax_number": "316-866-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062555",
            "telephone_number": "316-686-6565",
            "fax_number": "316-866-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Ryan Chaney, PHARM D.
• Howard Y Chang, MD
• Irene L Chang, MD
• Joseph Patrick Chang, DDS.
• Maria Corazon Chang, M.D.
• Change Your Life Enterprises, Inc.
• Changing Habits
• Raymond Chankalal, MD
• Travis Kent Channell
• Hemalatha Chaparala, M.D

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.