NPIMap

Organization Active NPI

Chang S. Vong, DMD, a Professional Corporation

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1134428816
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58416 Issued in CA
Legal business name
CHANG S. VONG, DMD, A PROFESSIONAL CORPORATION
Practice address
8940 Vintage Park Dr # 100
Sacramento, CA 95829-1627
Phone
(916) 525-3200
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Dr. Chang Vong, DMDNPI 1982837761
Title
President
Phone
(916) 525-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 58416 CA Primary

Addresses

Primary practice location

8940 Vintage Park Dr # 100
Sacramento, CA 95829-1627

Mailing address

8940 Vintage Park Dr # 100
Sacramento, CA 95829-1627
Phone (916) 525-3200

Other names 1

  • Vineyard Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8940 Vintage Park Dr
Ste 100
Sacramento, CA 95829
Phone (916) 525-3200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1134428816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 VINTAGE PARK DR # 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291627",
            "telephone_number": "916-525-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 VINTAGE PARK DR # 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291627",
            "telephone_number": "916-525-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG S. VONG, DMD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "VONG",
        "authorized_official_first_name": "CHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-525-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.