Organization Active NPI

Shu Mei Jessie Chang DDS Ms PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Paoli, PA
National Provider Identifier
1154201895
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SHU MEI JESSIE CHANG DDS MS PLLC
Practice address
1776 Lancaster Ave Ste 15
Paoli, PA 19301-1550
Phone
(610) 904-9005
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Shu Mei Jessie Chang, DDS MSNPI 1689836538
Title
Ownder
Phone
(415) 810-5318

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1776 Lancaster Ave Ste 15
Paoli, PA 19301-1550

Mailing address

1776 Lancaster Ave Ste 15
Paoli, PA 19301-1550
Phone (610) 904-9005

National Provider Directory

National Provider Directory

Locations

1776 Lancaster Ave
Ste 15
Paoli, PA 19301
Phone (610) 904-9005

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": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1154201895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 LANCASTER AVE STE 15",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011550",
            "telephone_number": "610-904-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 LANCASTER AVE STE 15",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011550",
            "telephone_number": "610-904-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHU MEI JESSIE CHANG DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHU MEI JESSIE",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "415-810-5318",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.