Active NPI
Joseph Patrick Chang, DDS.
- General Practice Dentistry
- Wichita, KS
National Provider Identifier
1205840964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6217
- Practice address
- 404 S Edgemoor St
Building 400
Wichita, KS 67218-1631 - Phone
- (316) 267-3924
- Fax
- (316) 262-0754
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6217 | KS | Primary |
Addresses
Primary practice location
404 S Edgemoor St
Building 400
Wichita, KS 67218-1631
Mailing address
404 S Edgemoor St
Building 400
Wichita, KS 67218-1631
Phone (316) 267-3924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 3, 2016 through Feb 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6217 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Chang and Strong DDS. PA. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Wichita, KS
- NPI 1619981453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205840964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 S EDGEMOOR ST",
"address_2": "BUILDING 400",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181631",
"telephone_number": "316-267-3924",
"fax_number": "316-262-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 S EDGEMOOR ST",
"address_2": "BUILDING 400",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181631",
"telephone_number": "316-267-3924",
"fax_number": "316-262-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JOSEPH",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DDS.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.