David Jonathan Chang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21337 Issued in TX

Practice address

1701 Shaver St Ste 100
Pasadena, TX 77502-2027

Phone

(713) 589-1888

Fax

(713) 589-1998

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David J. Chang DDS PA

  dba Advanced Dental Associates

  • General Practice Dentistry
  • Pasadena, TX
  • NPI 1851486740
  NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1437245230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SHAVER ST STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022027",
            "telephone_number": "713-589-1888",
            "fax_number": "713-589-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SHAVER ST STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022027",
            "telephone_number": "713-589-1888",
            "fax_number": "713-589-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Fairmont Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775043336",
            "country_code": "US",
            "telephone_number": "281-991-1905",
            "fax_number": "281-991-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL CHIPS",
            "identifier": "B2133701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580433-08",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580433-09",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580433-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chambers County Public Hospital District No 1 (Baywood Crossing Rehabilitation & Healthcare Center)
• Donna K Chamblee, LPC
• Hong-Ta James Chan, RPH
• Lawrence Zheng Chan, PHARM.D.
• Rexanna Chan, D.O
• Robert Nghia Chang, D.D.S.
• Ronald Chang, MD
• Monica Charpentier
• Chartwell Community Services Inc. (Elara Caring)
• Chartwell Community Services Inc. (Elara Caring)

• General Practice Dentistry in Pasadena, TX
• Providers in Pasadena, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.