Henry S Chang

Primary specialty

DentistTaxonomy code 122300000X

License

25125 Issued in CA

Practice address

3151 S White Rd Ste 203
San Jose, CA 95148-4045

Phone

(408) 238-7646

Fax

(408) 238-8096

NPI assigned

Aug 14, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Henry S Chang DDS Inc

  • Dentist
  • San Jose, CA
  • NPI 1841398054
  NPD (past) Authorized official

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1497154686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 S WHITE RD STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484045",
            "telephone_number": "408-238-7646",
            "fax_number": "408-238-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 S WHITE RD STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484045",
            "telephone_number": "408-238-7646",
            "fax_number": "408-238-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "HENRY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "25125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Yuan Chen Chang, MD
• David W Chang, MD
• Dwayne Chang, DPM
• Erinn Chang, DDS
• Grace Chang, PHARM D
• Hui Ju Chang, L.AC,. PH.D
• Jamie Chang, D.C.
• Janet Chang, R.N.
• Janice Chang, PHARMD
• Jennifer Chang

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.