Organization Active NPI

Yong Chang DDS PC.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1164045456
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
YONG CHANG DDS PC.
Doing business as
Zephyr Dental
Practice address
3531 N Western Ave Unit B
Chicago, IL 60618-6025
Phone
(773) 796-5928
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Yong Chang
Title
DDS/Owner
Phone
(773) 796-5928

Specialties & licenses 1

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

Addresses

Primary practice location

3531 N Western Ave Unit B
Chicago, IL 60618-6025

Mailing address

3531 N Western Ave Unit B
Chicago, IL 60618-6025
Phone (773) 796-5928

Other names 1

  • Zephyr Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Zephyrdentaldds@gmail.com

National Provider Directory

National Provider Directory

Locations

3531 N Western Ave
#B
Chicago, IL 60618
Phone (773) 796-5928

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1164045456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 N WESTERN AVE UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186025",
            "telephone_number": "773-796-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 N WESTERN AVE UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186025",
            "telephone_number": "773-796-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG CHANG DDS PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "773-796-5928",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Zephyrdentaldds@gmail.com",
            "affiliation": "N",
            "address_1": "3531 N Western Ave Unit B",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606186025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Zephyr Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

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