Quyen Duong Chang, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5659 Issued in NC

Practice address

3388 Six Forks Rd
Raleigh, NC 27609-7233

Phone

(919) 783-6551

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Quyen Duong Chang Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Quyen Chang Family Dentistry

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1770785099

  General Practice

  NPD (past) Authorized official
• Timothy C. Chang, DDS, PLLC

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1831903004

  General Practice

  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1295953750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3388 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097233",
            "telephone_number": "919-783-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097233",
            "telephone_number": "919-783-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "QUYEN",
        "middle_name": "DUONG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUYEN",
            "last_name": "CHANG",
            "middle_name": "DUONG",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Conner Chaney
• Albert Shou-Yen Chang, MD
• Andrew J Chang, MD
• Kirsten Linnea Chang, MSW, LCSWA
• Lisa I Chang, RPH
• Timothy Chang, D.D.S.
• Change for Living Counseling, PLLC
• Changing Lives Daily LLC
• Channel-Markers Medical LLC
• Piper Chanonat

• All providers in Raleigh, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.