Individual provider Active NPI

Katherine Hee Chang, D.C., L.AC.

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1154471654
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32832 Issued in CA
Practice address
3680 Stevens Creek Blvd Ste F
San Jose, CA 95117-1205
Phone
(408) 930-1786
Fax
(408) 260-9963
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.009878 IL
Acupuncturist 171100000X 198.000551 IL
Acupuncturist 171100000X AC17435 CA
Chiropractor 111N00000X DC32832 CA Primary

Addresses

Primary practice location

3680 Stevens Creek Blvd Ste F
San Jose, CA 95117-1205

Mailing address

3680 Stevens Creek Blvd Ste F
San Jose, CA 95117-1205
Phone (408) 930-1786

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC32832CAMDChiropractor
038.009878ILMDChiropractor
AC17435CAMDAcupuncturist
198.000551ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1154471654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 STEVENS CREEK BLVD STE F",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171205",
            "telephone_number": "408-930-1786",
            "fax_number": "408-260-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 STEVENS CREEK BLVD STE F",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171205",
            "telephone_number": "408-930-1786",
            "fax_number": "408-260-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KATHERINE",
        "middle_name": "HEE",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.009878",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000551",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17435",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.