Charles Chang DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

054987-1 Issued in NY

Legal business name

CHARLES CHANG DDS PC

Practice address

264A Suydam St # a
Brooklyn, NY 11237-3274

Phone

(718) 483-9119

Fax

(347) 663-1303

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Charles Chang, DDS

Title

Owner

Phone

(718) 483-9119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1376891705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 A SUYDAM STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373274",
            "telephone_number": "718-483-9119",
            "fax_number": "347-663-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264A SUYDAM ST # A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373274",
            "telephone_number": "718-483-9119",
            "fax_number": "347-663-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES CHANG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-483-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054987-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Charitable, M.D.
• Charleen' S Stroke Care Fund
• Charlene Chao, MD, PLLC
• Faye Charlery
• Charles Bigajer & Robert S Tracer MD PLLC
• Patrice Charles Cordner
• Charles E Morris
• Charles E. McDermott, M.D., PC
• Charles Henry Starke II M.D. P.C.
• Charles I. Ornstein

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.