Derek J. Chang, DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

26504 Issued in TX

Legal business name

DEREK J. CHANG, DDS, PLLC

Practice address

737 Everhart Rd Ste B
Corpus Christi, TX 78411-1998

Phone

(361) 992-7631

NPI assigned

Jun 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Derek Jensen Chang, D.D.S.NPI 1356635817

Title

Owner/Dentist

Phone

(361) 992-7631

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Chang, DDS

  • General Practice Dentistry
  • Corpus Christi, TX
  • NPI 1356635817
  NPD Authorized official
• Wilson Barton Perrin, D.D.S.

  • General Practice Dentistry
  • Corpus Christi, TX
  • NPI 1356357123
  NPD (past)

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1265795264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 MCARDLE RD STE 204",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114439",
            "telephone_number": "361-992-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 EVERHART RD STE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111998",
            "telephone_number": "361-992-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK J. CHANG, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "JENSEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "361-992-7631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Mattew Dennis, M.D.
• Dental Inlet PLLC
• Department of Anesthesiology-Corpus Christi
• Grant Depoy, D.O.
• Dept of Assistive & Rehab Serv - Corpus Christi Field Headquarters
• Dermatology Associates Inc
• Ankit Desai, DPM
• Tiffany Deskins
• Amanda Rochelle Despain, APRN
• Development Group Tactical LLC

• Dentist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.