Jung Yoon Chang

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61533 Issued in CA

Practice address

308 W State St Ste 4a
Redlands, CA 92373-4626

Phone

(909) 798-2755

NPI assigned

Jul 18, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jung Yoon Chang Dental Corp

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1265198295
  NPD Authorized official
• Jy Chang DDS Inc

  • Dental Clinic/Center
  • Santa Ana, CA
  • NPI 1295453348
  NPD Authorized official

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1346595113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26200 REDLANDS BLVD APT 43",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W STATE ST STE 4A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734626",
            "telephone_number": "909-798-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JUNG YOON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lap Fan Chan, PHARMD
• Thomas Kanianthara Chandy
• Albert Jeh-Seng Chang, MD
• David Chang, M.D.
• Janet Regina Chang, MD
• Matthew Stewart Chang, M.D.
• Luis Chanure
• Crystel Nayeli Chaparro
• Garrett Lee Chapman, M.D.
• Linda J Charkins, LMFT

• General Practice Dentistry in Redlands, CA
• Providers in Redlands, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.