Active NPI
Irene Dan Yi Chang
- Dentist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT-3037
- Practice address
- 500 Ala Moana Blvd Ste 7300
Honolulu, HI 96813-4905 - Phone
- (808) 523-4332
- NPI assigned
- Mar 2, 2020
- Last updated
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 106907 | CA | |
| Dentist | 122300000X | DT-3037 | HI | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd Ste 7300
Honolulu, HI 96813-4905
Mailing address
1778 Ala Moana Blvd Apt 3815
Honolulu, HI 96815-1627
Phone (408) 691-3579
Other practice location 1
2239 N School St
Honolulu, HI 96819-2539
Phone (808) 791-9400
Other practice location 2
10251 Torre Ave Ste 138
Cupertino, CA 95014-2184
Phone (408) 996-9865
Other practice location 3
1299 Water Lily Way Ste 50
San Jose, CA 95129-2868
Phone (408) 996-2468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-3037 | HI | MD | Dentist |
| 106907 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chang Dental Corporation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Cupertino, CA
- NPI 1588721070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1225662026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1778 ALA MOANA BLVD APT 3815",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151627",
"telephone_number": "408-691-3579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD STE 7300",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134905",
"telephone_number": "808-523-4332"
}
],
"practiceLocations": [
{
"address_1": "2239 N School St",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968192539",
"country_code": "US",
"telephone_number": "808-791-9400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10251 Torre Ave Ste 138",
"address_purpose": "LOCATION",
"city": "Cupertino",
"state": "CA",
"postal_code": "950142184",
"country_code": "US",
"telephone_number": "408-996-9865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1299 Water Lily Way Ste 50",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951292868",
"country_code": "US",
"telephone_number": "408-996-2468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "IRENE",
"middle_name": "DAN YI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "106907",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "HI",
"license": "DT-3037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.