Anthony Chang, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012763 Issued in NY

Practice address

301 Maple Ave
Smithtown, NY 11787-4900

Phone

(631) 543-0004

Fax

(631) 864-5428

NPI assigned

Jan 28, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1437516937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CLINTON AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874900",
            "telephone_number": "631-543-0004",
            "fax_number": "631-864-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Meloottu Chacko, MD
• Michele Nicole Chadrjian, FNP
• Jennifer H Chai, DACM, MSTOM, L.AC,
• Heather Chandler
• Kiyoshi Taibu Chandler, DO
• Matthew Charest
• Catherine Asa Charles
• Neena Chaudhari, M.D.
• Siok-Ching Chen, M.D.
• Stuart B. Cherney, M.D.

• Chiropractor in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.