NPIMap

Organization Active NPI

Tae'Ni Chang-Stroman M.D., P.C.

  • Pediatrics Physician
  • Dyer, IN
National Provider Identifier
1255487138
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01042969 Issued in IN
Legal business name
TAE'NI CHANG-STROMAN M.D., P.C.
Practice address
1160 Joliet St
Suite 103
Dyer, IN 46311-2096
Phone
(219) 322-8534
Fax
(219) 865-9072
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. Tae'Ni Chang-Stroman, M.D.NPI 1902809601
Title
President
Phone
(219) 322-8534

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 01042969 IN Primary

Addresses

Primary practice location

1160 Joliet St
Suite 103
Dyer, IN 46311-2096

Mailing address

1160 Joliet St
Suite 103
Dyer, IN 46311-2096
Phone (219) 322-8534

Other names 1

  • Kids First Pediatrics on 30 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1041395Kids First Pediatrics on 301160 Joliet St Ste 103, Dyer, IN 46311Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

Locations

1160 Joliet St
Ste 103
Dyer, IN 46311
Phone (219) 322-8534

Practitioners & affiliated clinicians

Practitioners 7

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1255487138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 JOLIET ST",
            "address_2": "SUITE 103",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112096",
            "telephone_number": "219-322-8534",
            "fax_number": "219-865-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 JOLIET ST",
            "address_2": "SUITE 103",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112096",
            "telephone_number": "219-322-8534",
            "fax_number": "219-865-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAE'NI CHANG-STROMAN M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "CHANG-STROMAN",
        "authorized_official_first_name": "TAE'NI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-322-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01042969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids First Pediatrics on 30",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.