Individual provider Active NPI

Lin Chang, D.D.S.

  • General Practice Dentistry
  • Lewisville, TX
National Provider Identifier
1366624710
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23239 Issued in TX
Practice address
101 E Corporate Dr
Ste. 120
Lewisville, TX 75067-6603
Phone
(972) 459-5608
Fax
(972) 459-5638
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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 23239 TX Primary

Addresses

Primary practice location

101 E Corporate Dr
Ste. 120
Lewisville, TX 75067-6603

Mailing address

101 E Corporate Dr
Ste. 120
Lewisville, TX 75067-6603
Phone (972) 459-5608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23239TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
101 Dental & Orthodontics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1366624710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E CORPORATE DR",
            "address_2": "STE. 120",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676603",
            "telephone_number": "972-459-5608",
            "fax_number": "972-459-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CORPORATE DR",
            "address_2": "STE. 120",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676603",
            "telephone_number": "972-459-5608",
            "fax_number": "972-459-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.