Philip Chang, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

62595 Issued in CA

Legal business name

PHILIP CHANG, DDS, INC.

Practice address

8038 Garvey Ave Ste B
Rosemead, CA 91770-2483

Phone

(626) 571-7000

Fax

(626) 571-8454

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Philip Chang, D.D.S.NPI 1205265527

Title

President

Phone

(626) 217-4542

Specialties & licenses 1

Addresses

Other names 1

• Chang Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Chang, D.D.S.

  • General Practice Dentistry
  • Corona, CA
  • NPI 1205265527
  NPD (past) Authorized official

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1386013209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18208 VILLA CLARA ST",
            "city": "ROWLAND HGHTS",
            "state": "CA",
            "postal_code": "917484435",
            "telephone_number": "626-217-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8038 GARVEY AVE STE B",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702483",
            "telephone_number": "626-571-7000",
            "fax_number": "626-571-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP CHANG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-217-4542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chang Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diem Hong Phan, BS
• Emily Phan
• Pharmilycare Inc
• Pharmilycare Inc
• Phil Trinh, DDS., Inc
• Phillip Z Kaw Dental Corporation
• Melinda Wood Phillips, M.D.
• Cynthia M. Philpot, MA
• Loan Phu, PHARMD
• Kenneth Phun, MD

• Dentist in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.