Jy Chang DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JY CHANG DDS INC

Practice address

902 E 1St St
Santa Ana, CA 92701-5365

Phone

(714) 835-5921

NPI assigned

Aug 16, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jung Yoon ChangNPI 1346595113

Title

Dentist/Cep

Phone

(909) 348-3721

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jung Yoon Chang

  • General Practice Dentistry
  • Redlands, CA
  • NPI 1346595113
  NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1295453348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015365",
            "telephone_number": "714-835-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JY CHANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JUNG YOON",
        "authorized_official_title_or_position": "DENTIST/CEP",
        "authorized_official_telephone_number": "909-348-3721"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1346595113",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jung
• James Westley Jurado, MS,CSCS, PTA
• Jessica Jurado
• Ann Margaret Jurczynski
• Jennifer Lynn Justice
• K and K Healthy Living Company (Sleep Fabulous)
• K C B Pharmacy Inc (South Coast Pharmacy)
• K C B Pharmacy Inc (South Coast Pharmacy)
• K. B. Pediatrics, Inc.
• Hoda Kaddis, M.D.

• Dental Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.