Organization Active NPI

Josephine Roh-Yih Chang DDS LTD

  • General Practice Dentistry
  • Lansing, IL
National Provider Identifier
1487006284
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOSEPHINE ROH-YIH CHANG DDS LTD
Practice address
18610 Burnham Ave
Suite D
Lansing, IL 60438-3500
Phone
(708) 895-0778
Fax
(708) 895-1518
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. Josephine Chang, DDS
Title
President
Phone
(708) 895-0778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18610 Burnham Ave
Suite D
Lansing, IL 60438-3500

Mailing address

18610 Burnham Ave
Suite D
Lansing, IL 60438-3500
Phone (708) 895-0778

Other names 1

  • Pallotto Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

18610 Burnham Ave
Ste D
Lansing, IL 60438
Phone (708) 895-0778

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1487006284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 BURNHAM AVE",
            "address_2": "SUITE D",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383500",
            "telephone_number": "708-895-0778",
            "fax_number": "708-895-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 BURNHAM AVE",
            "address_2": "SUITE D",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383500",
            "telephone_number": "708-895-0778",
            "fax_number": "708-895-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE ROH-YIH CHANG DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-895-0778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pallotto Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.