NPIMap

Organization Active NPI

Michael J.C. Chang, DMD, Inc.

  • General Practice Dentistry
  • Buena Park, CA
National Provider Identifier
1194921916
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39244 Issued in CA
Legal business name
MICHAEL J.C. CHANG, DMD, INC.
Practice address
7011 Orangethorpe Ave.
#100
Buena Park, CA 90621
Phone
(714) 994-4482
Fax
(714) 994-3995
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Michael Jung-Chan Chang, DMD
Title
President
Phone
(714) 994-4482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39244 CA Primary

Addresses

Primary practice location

7011 Orangethorpe Ave.
#100
Buena Park, CA 90621

Mailing address

7011 Orangethorpe Ave.
#100
Buena Park, CA 90621
Phone (714) 994-4482

Other names 1

  • Fruitful Smile Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1194921916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 ORANGETHORPE AVE.",
            "address_2": "#100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90621",
            "telephone_number": "714-994-4482",
            "fax_number": "714-994-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 ORANGETHORPE AVE.",
            "address_2": "#100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90621",
            "telephone_number": "714-994-4482",
            "fax_number": "714-994-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J.C. CHANG, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JUNG-CHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-994-4482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fruitful Smile Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.