Organization Active NPI

Changdds, P.C.

  • General Practice Dentistry
  • Pontiac, MI
National Provider Identifier
1184954166
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHANGDDS, P.C.
Practice address
1472 Baldwin Ave
Pontiac, MI 48340-1102
Phone
(248) 332-2448
Fax
(248) 332-7401
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Dr. James W Chang, D.D.S.NPI 1841335221
Title
President
Phone
(248) 332-2448

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 1

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

Addresses

Primary practice location

1472 Baldwin Ave
Pontiac, MI 48340-1102

Mailing address

1472 Baldwin Ave
Pontiac, MI 48340-1102
Phone (248) 332-2448

Other identifiers 1

IdentifierTypeStateIssuer
124059338MedicaidMI

National Provider Directory

National Provider Directory

Locations

1472 Baldwin Ave
Pontiac, MI 48340
Phone (248) 332-2448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1184954166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 BALDWIN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401102",
            "telephone_number": "248-332-2448",
            "fax_number": "248-332-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 BALDWIN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401102",
            "telephone_number": "248-332-2448",
            "fax_number": "248-332-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGDDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-332-2448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124059338",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.