Individual provider Active NPI

Bill PO Wei Chang, D.D.S.

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1316958366
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26129 Issued in TX
Practice address
9245 Virginia Pkwy Ste 300
McKinney, TX 75071-6232
Phone
(972) 346-5133
Fax
(972) 586-7025
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 26129 TX Primary

Addresses

Primary practice location

9245 Virginia Pkwy Ste 300
McKinney, TX 75071-6232

Mailing address

9245 Virginia Pkwy Ste 300
McKinney, TX 75071-6232
Phone (972) 346-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160531000357 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3476843749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26129TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bill Chang DDS PLLC CurrentSince Jul 3, 2022 Accepting new patients

Locations

9245 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (972) 346-5133

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1316958366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 VIRGINIA PKWY STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716232",
            "telephone_number": "972-346-5133",
            "fax_number": "972-586-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 VIRGINIA PKWY STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716232",
            "telephone_number": "972-346-5133",
            "fax_number": "972-586-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "BILL",
        "middle_name": "PO WEI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.