Individual provider Active NPI

May M Chang, DDS, PC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1275530610
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6160 Issued in OR
Practice address
1744 NE 42ND Ave
Portland, OR 97213-1527
Phone
(503) 287-0072
Fax
(503) 517-0113
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6160 OR Primary

Addresses

Primary practice location

1744 NE 42ND Ave
Portland, OR 97213-1527

Mailing address

1744 NE 42ND Ave
Portland, OR 97213-1527
Phone (503) 287-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731015874 OR Order and Referring Only - DentistPractitioner - Dentist 3375857550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6160ORMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
May M Chang 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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1275530610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131527",
            "telephone_number": "503-287-0072",
            "fax_number": "503-517-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131527",
            "telephone_number": "503-287-0072",
            "fax_number": "503-517-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MAY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.