Minho Chang, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29659 Issued in TX

Practice address

10710 Eldorado Pkwy
Suite 160
Frisco, TX 75035

Phone

(469) 731-5700

Fax

(469) 731-5705

NPI assigned

Jun 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luminous Dental Associates PLLC

  dba Luminous Dental Studio

  • Dental Clinic/Center
  • Frisco, TX
  • NPI 1346799962
  NPD (past) Authorized official

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1194164095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 ELDORADO PKWY",
            "address_2": "SUITE 160",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "469-731-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 ELDORADO PKWY",
            "address_2": "SUITE 160",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "469-731-5700",
            "fax_number": "469-731-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MINHO",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039579",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29659",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039579",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anoop Chandran, MD
• Chandratara, PA
• J. Summer-Rose Chaney, PSY.D.
• Jammie Chang
• Kelly Chang, CCC-SLP
• Vanessa Eunsaem Chang, DMD, MPH
• William Chang, DC
• Change Behavioral Solutions LLC
• Candace Ann Channing, FNP
• Jill Chao, PHARM.D., R.PH.

• General Practice Dentistry in Frisco, TX
• Providers in Frisco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.