Active NPI
Michelle Lee Chang-Anding, D.D.S.
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1477667657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6151
- Practice address
- 2430 South 73 Street
Suite 202
Omaha, NE 68124 - Phone
- (402) 933-4632
- Fax
- (402) 933-5236
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT-1962 | HI | |
| General Practice Dentistry | 1223G0001X | 6151 | NE | Primary |
Addresses
Primary practice location
2430 South 73 Street
Suite 202
Omaha, NE 68124
Mailing address
2430 South 73 Street
Suite 202
Omaha, NE 68124
Phone (402) 933-4632
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100250728-00 | Medicaid | NE | |
| 4618 | Other | NE | BLUE CROSS BLUE SHIELD |
| 978843 | Other | NE | UNITED CONCORDIA |
Other names 1
- Dr. Michelle Lee Chang
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 |
|---|---|---|---|
| DT-1962 | HI | MD | General Practice Dentistry |
| 6151 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anding Family Dental, PC | Current | Accepting new patients |
Locations
2430 S 73rd St
Ste 202
Omaha, NE 68124
Phone (402) 393-0280
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Omaha, NE
- NPI 1013793793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1477667657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 SOUTH 73 STREET",
"address_2": "SUITE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "68124",
"telephone_number": "402-933-4632",
"fax_number": "402-933-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 SOUTH 73 STREET",
"address_2": "SUITE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "68124",
"telephone_number": "402-933-4632",
"fax_number": "402-933-5236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG-ANDING",
"first_name": "MICHELLE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT-1962",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250728-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4618",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "978843",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "CHANG",
"middle_name": "LEE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.