NPIMap

Organization Active NPI

Joao F Chang DDS Thida Mahasucon DDS

  • Dentist
  • Merced, CA
National Provider Identifier
1174728224
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41901 Issued in CA
Legal business name
JOAO F CHANG DDS THIDA MAHASUCON DDS
Practice address
2534 M St
Merced, CA 95340
Phone
(209) 723-3071
Fax
(209) 723-3072
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thida Mahasucon, DDSNPI 1275694051
Title
Dentist
Phone
(209) 723-3071

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 41901 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 41952 CA

Addresses

Primary practice location

2534 M St
Merced, CA 95340

Mailing address

2534 M St
Merced, CA 95340
Phone (209) 723-3071

National Provider Directory

National Provider Directory

Locations

2534 M St
Merced, CA 95340
Phone (209) 723-3071

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174728224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-723-3071",
            "fax_number": "209-723-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-723-3071",
            "fax_number": "209-723-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAO F CHANG DDS THIDA MAHASUCON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHASUCON",
        "authorized_official_first_name": "THIDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-723-3071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41901",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.