Sandra S Chang, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901018249 Issued in MI

Practice address

42301 Cherry Hill Rd
Canton, MI 48188-9801

Phone

(764) 981-7477

Fax

(734) 981-0328

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

State licenses

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.

• Wunderlich & Chang DDS, Ms, PC

  • Periodontics
  • Canton, MI
  • NPI 1194975276
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326075722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ORCHARD HILLS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041836",
            "telephone_number": "734-981-7477",
            "fax_number": "734-981-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42301 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481889801",
            "telephone_number": "764-981-7477",
            "fax_number": "734-981-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SANDRA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901018249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samah Chamamit, DDS
• Katherine Elizabeth Chambers, MD
• Rose Mary Chambers
• Ali Chami, DPM
• Liyana A Chandrapala
• Sun Hye Chang
• Cathryn Chapa, CPNP-PC
• Kathryn Elizabeth Chapman, D.D.S.
• Brandy Ann Chappell, LPN
• Mona Charara

• Periodontics in Canton, MI
• Providers in Canton, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.