Organization Active NPI

Soonhyuk Chang DDS Inc

  • Dental Clinic/Center
  • Perris, CA
National Provider Identifier
1457542516
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49855 Issued in CA
Legal business name
SOONHYUK CHANG DDS INC
Practice address
126 Avocado Ave Ste 202
Perris, CA 92571-2605
Phone
(951) 940-0202
Fax
(951) 943-4844
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Soon Hyuk Chang, D.D.S.
Title
Ceo
Phone
(951) 544-6838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49855 CA Primary

Addresses

Primary practice location

126 Avocado Ave Ste 202
Perris, CA 92571-2605

Mailing address

126 Avocado Ave Ste 202
Perris, CA 92571-2605
Phone (951) 940-0202

National Provider Directory

National Provider Directory

Locations

126 Avocado Ave
Ste 202
Perris, CA 92571
Phone (951) 544-6838

Practitioners & affiliated clinicians

Practitioners 3

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1457542516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 AVOCADO AVE STE 202",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712605",
            "telephone_number": "951-940-0202",
            "fax_number": "951-943-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AVOCADO AVE STE 202",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712605",
            "telephone_number": "951-940-0202",
            "fax_number": "951-943-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOONHYUK CHANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SOON HYUK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-544-6838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.