Doug Chang, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D5232 Issued in AZ

Practice address

3901 W McDowell Rd
Phoenix, AZ 85009-2114

Phone

(602) 278-1837

Fax

(602) 278-7752

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 3901 West PLLC

  • Dentist
  • Phoenix, AZ
  • NPI 1740051929
  NPD Authorized official
• Doug Chang PC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1417127788
  NPD (past) Authorized official
• E Dental PLLC

  • Dentist
  • Phoenix, AZ
  • NPI 1043634561
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356351373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850092114",
            "telephone_number": "602-278-1837",
            "fax_number": "602-278-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850092114",
            "telephone_number": "602-278-1837",
            "fax_number": "602-278-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DOUG",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524943",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Chaney, RBT
• Andrea Chang, MD
• Anita I Chang, M.D.
• Brent Allen Chang, MD
• Christine Chang, M.D.
• Douglas Chin-Lu Chang, M.D.
• Eric Stephen Chang, MD
• Grace Yeeun Chang
• Jenny Chang, DDS
• Josiah Chang, MD

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.