Paul S Chang Dental Group, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PAUL S CHANG DENTAL GROUP, INC.

Doing business as

Wonderful Life Dental

Practice address

10470 Foothill Blvd Unit 250
Rancho Cucamonga, CA 91730-3754

Phone

(626) 818-0633

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Paul S Chang, DMDNPI 1922131978

Title

Ceo

Phone

(626) 818-0633

Specialties & licenses 2

Addresses

Other names 1

• Wonderful Life Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul S Chang, DDS

  • Dentist
  • Rosemead, CA
  • NPI 1922131978
  NPD Authorized official

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1487335733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD UNIT 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303754",
            "telephone_number": "626-818-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD UNIT 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303754",
            "telephone_number": "626-818-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S CHANG DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-818-0633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderful Life Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.