Paul Chansol Jang, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31115 Issued in TX

Practice address

201 S Rogers Rd
Irving, TX 75060-2608

Phone

(972) 004-5204

NPI assigned

Sep 15, 2015

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Male

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

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chansol PLLC

  • General Practice Dentistry
  • McKinney, TX
  • NPI 1093533945
  NPD Authorized official
• Peppermint Dental

  dba Peppermint Dental & Orthodontics

  • Dentist
  • Rowlett, TX
  • NPI 1861641995
  NPD (past)

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1154790574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 BRIARGROVE LN",
            "address_2": "APT. 2204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876360",
            "telephone_number": "979-204-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ROGERS RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602608",
            "telephone_number": "972-004-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "PAUL",
        "middle_name": "CHANSOL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole James, MS,LAT,ATC,CHWC,CEAS
• Jamienne Price, DC (Mindful Chiropractic and Wellness)
• Janet Glenn DDS Magd (Gentle Dentistry of Las Colinas)
• Dong Kyu Jang, L. AC
• Mira Jang, DDS
• Jansons Supplies
• Katherine Jarrett
• Kimberly Jasmin
• Jason Erickson DDS, PA (Erickson Dental)
• Jason's DME

• General Practice Dentistry in Irving, TX
• Providers in Irving, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.