NPIMap

Organization Active NPI

Sean Wonhyung Chang

Doing business as Sean Chang Dental Corporation

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1144871559
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SEAN WONHYUNG CHANG
Doing business as
Sean Chang Dental Corporation
Practice address
4902 Irvine Center Dr Ste 200
Irvine, CA 92604-3335
Phone
(949) 733-8011
NPI assigned
Sep 26, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Dr. Sean W Chang, DDSNPI 1588045124
Title
Dentist - Owner
Phone
(949) 733-8011

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 Primary

Addresses

Primary practice location

4902 Irvine Center Dr Ste 200
Irvine, CA 92604-3335

Mailing address

4902 Irvine Center Dr Ste 200
Irvine, CA 92604-3335
Phone (949) 733-8011

Other identifiers 1

IdentifierTypeStateIssuer
101318OtherCADENTIST

Other names 1

  • Sean Chang Dental Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

4902 Irvine Center Dr
Ste 200
Irvine, CA 92604
Phone (949) 733-8011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1144871559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043335",
            "telephone_number": "949-733-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043335",
            "telephone_number": "949-733-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN WONHYUNG CHANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST - OWNER",
        "authorized_official_telephone_number": "949-733-8011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "101318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sean Chang Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.