Wesley K. W. Chang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

032812 Issued in CA

Practice address

380 20TH Ave
Suite 101
San Francisco, CA 94121-2221

Phone

(415) 751-1115

Fax

(415) 751-1116

NPI assigned

May 21, 2007

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

Other names 1

• Dr. Wesley K. W. Chang Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1174731293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 ANTIQUA LN",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944043970",
            "telephone_number": "650-571-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 20TH AVE",
            "address_2": "SUITE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212221",
            "telephone_number": "415-751-1115",
            "fax_number": "415-751-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WESLEY",
        "middle_name": "K. W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "032812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WESLEY",
            "last_name": "CHANG",
            "middle_name": "K. W.",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tiffany Chang
• Tiffany Yung-Chin Chang, M.D.
• Tina Chang, NP
• Toby Wai Chang, PHARM.D.
• Victoria Ann Chang, MD
• Wileen Chang, AU.D
• Yun Cheong Chang, MD
• Pawan Chansaenroj, M.D.
• Peter Chansky, MD
• William V Chantaduly, O.D.

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.