Active NPI
Douglas P Chang, D.D.S.
- General Practice Dentistry
- Honolulu, HI
National Provider Identifier
1346289519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 985
- Practice address
- 1060 Young St
Suite 305
Honolulu, HI 96814-1609 - Phone
- (808) 528-1200
- Fax
- (808) 528-1202
- NPI assigned
- Jun 5, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 985 | HI | Primary |
Addresses
Primary practice location
1060 Young St
Suite 305
Honolulu, HI 96814-1609
Mailing address
1060 Young St
Suite 305
Honolulu, HI 96814-1609
Phone (808) 528-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06789101 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150901000948 | HI | Order and Referring Only - Dentist | 0244546596 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 985 | HI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Front Tooth Dental LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Honolulu, HI
- NPI 1790653061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346289519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 YOUNG ST",
"address_2": "SUITE 305",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141609",
"telephone_number": "808-528-1200",
"fax_number": "808-528-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 YOUNG ST",
"address_2": "SUITE 305",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141609",
"telephone_number": "808-528-1200",
"fax_number": "808-528-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DOUGLAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06789101",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.