Changes Premier Health , LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CHANGES PREMIER HEALTH , LLC

Practice address

1820 N Lake Forest Dr Ste 100
McKinney, TX 75071-7653

Phone

(469) 634-1270

Fax

(469) 634-1271

NPI assigned

Feb 11, 2019

Organization subpart

No

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

Authorized official

Name

Samantha Castle

Title

Market Ceo

Phone

(972) 428-0527

Specialties & licenses 2

Addresses

Other names 1

• Changes McKinney Doing business as

Locations

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1174089569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N LAKE FOREST DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717653",
            "telephone_number": "469-634-1270",
            "fax_number": "469-634-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N LAKE FOREST DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717653",
            "telephone_number": "469-634-1270",
            "fax_number": "469-634-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES PREMIER HEALTH , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "MARKET CEO",
        "authorized_official_telephone_number": "972-428-0527"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changes McKinney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Becky L Chandler, M.D.
• Bill PO Wei Chang, D.D.S.
• Daniel E Chang, D.M.D.
• Kevin Chang
• Paul Peng Chang, DDS MS
• Changes Premier Health , LLC
• Chansol PLLC
• Elisha Chapman, CSFA
• John Michael Chapman, PAC
• Tenesha Richole Chappell, M.D.

• Clinic/Center in McKinney, TX
• Providers in McKinney, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.