NPIMap

Organization Active NPI

Chang & Engle MDS, PC

  • Ophthalmology Physician
  • Reno, NV
National Provider Identifier
1396923975
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CHANG & ENGLE MDS, PC
Practice address
5420 Kietzke LN
Ste 103
Reno, NV 89511-2063
Phone
(775) 329-2300
Fax
(775) 329-5514
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Michael Vance
Title
Administrator
Phone
(775) 329-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5420 Kietzke LN
Ste 103
Reno, NV 89511-2063

Mailing address

5420 Kietzke LN
Ste 103
Reno, NV 89511-2063
Phone (775) 329-2300

Other identifiers 1

IdentifierTypeStateIssuer
002016568MedicaidNV

Other names 1

  • NEVADA EYE CONSULTANTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000275 NV Part B Supplier - Clinic/Group Practice 5496838286 Receives reassigned benefits from 5 practitioners
Practice locations: Yerington, NV; Reno, NV; Fernley, NV; Fallon, NV

National Provider Directory

National Provider Directory

Locations

19 Sierra St
Yerington, NV 89447
Phone (702) 463-3596

Interoperability endpoints

  • Direct secure messaging: jengle@nec.intellechartdirect.net
  • Direct secure messaging: cmorris@nec.intellechartdirect.net
  • Direct secure messaging: rlyons@nec.intellechartdirect.net
  • Direct secure messaging: schang@nec.intellechartdirect.net
  • Direct secure messaging: rdimit@nec.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1396923975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN",
            "address_2": "STE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112063",
            "telephone_number": "775-329-2300",
            "fax_number": "775-329-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN",
            "address_2": "STE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112063",
            "telephone_number": "775-329-2300",
            "fax_number": "775-329-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG & ENGLE MDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-329-2300"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016568",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEVADA EYE CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEVADA EYE CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.