Active NPI
Dawn M Chang, D.M.D.
- Dentist
- Kapolei, HI
National Provider Identifier
1386970812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT1479
- Practice address
- 555 Farrington Hwy Ste 1
Kapolei, HI 96707-2052 - Phone
- (808) 342-8939
- NPI assigned
- Oct 17, 2009
- Last updated
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DT1479 | HI | Primary |
Addresses
Primary practice location
555 Farrington Hwy Ste 1
Kapolei, HI 96707-2052
Mailing address
91-1061 Kaiuliuli St
Ewa Beach, HI 96706-6438
Phone (808) 342-8939
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT1479 | HI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1386970812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1061 KAIULIULI ST",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967066438",
"telephone_number": "808-342-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 FARRINGTON HWY STE 1",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072052",
"telephone_number": "808-342-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DAWN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-17",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT1479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.