Active NPI
Jhia-Ming Chang, DDS
- General Practice Dentistry
- Fairfax, VA
National Provider Identifier
1386995652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401414136
- Practice address
- 10527 Braddock Rd.
Ste. 8a
Fairfax, VA 22032 - Phone
- (703) 352-2073
- Fax
- (703) 352-1541
- NPI assigned
- Sep 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS039441 | PA | |
| General Practice Dentistry | 1223G0001X | 0401414136 | VA | Primary |
Addresses
Primary practice location
10527 Braddock Rd.
Ste. 8a
Fairfax, VA 22032
Mailing address
10527 Braddock Rd.
Ste. 8a
Fairfax, VA 22032
Phone (703) 352-2073
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 |
|---|---|---|---|
| DS039441 | PA | MD | General Practice Dentistry |
| 0401414136 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jhia-Ming Chang, DDS, PC | 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.
-
- Dental Clinic/Center
- Fairfax, VA
- NPI 1831606086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1386995652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10527 BRADDOCK RD.",
"address_2": "STE. 8A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22032",
"telephone_number": "703-352-2073",
"fax_number": "703-352-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10527 BRADDOCK RD.",
"address_2": "STE. 8A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22032",
"telephone_number": "703-352-2073",
"fax_number": "703-352-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JHIA-MING",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS039441",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401414136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.