Pan Chang, DDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

609 Elm St
Waco, TX 76704-2516

Phone

(254) 714-0156

NPI assigned

Jan 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454112000000",
    "number": "1407214844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 4TH ST APT 706",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767061072",
            "telephone_number": "909-348-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ELM ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767042516",
            "telephone_number": "254-714-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-30",
        "last_updated": "2016-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff D. Chancellor, M.D.
• David Charles Chandler, ATC., LAT.
• Michael Chandler, EDD
• Andrew B Chaney, DDS
• Baochong B Chang, M.D.
• Robin Ray-Long Chang, PH.D.
• Robert Cole Channon, CRNA
• Michelle Chapa, SLP-ASSISTANT
• Elizabeth Ann Chapman, MSN, RN, FNP-BC
• Hailey Paige Chapman, SLP- ASSISTANT

• Student in an Organized Health Care Education/Training Program in Waco, TX
• Providers in Waco, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2016; 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.