Active NPI
Chen Tsung Chang, D.D.S.
- General Practice Dentistry
- Monterey Park, CA
National Provider Identifier
1417276296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59262
- Practice address
- 300 S Garfield Ave # 203
Monterey Park, CA 91754-3336 - Phone
- (626) 226-3555
- NPI assigned
- May 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59262 | CA | Primary |
Addresses
Primary practice location
300 S Garfield Ave # 203
Monterey Park, CA 91754-3336
Mailing address
300 S. Garfield Avenue
#203
Monterey Park, CA 91754
Phone (626) 226-3555
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 |
|---|---|---|---|
| 59262 | CA | MD | General Practice Dentistry |
Interoperability endpoints
- cchang@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1417276296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S. GARFIELD AVENUE",
"address_2": "#203",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "91754",
"telephone_number": "626-226-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S GARFIELD AVE # 203",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917543336",
"telephone_number": "626-226-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "CHEN",
"middle_name": "TSUNG",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-19",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.