Individual provider Active NPI

Donald K Chang, DDS

  • Endodontics
  • Oxnard, CA
National Provider Identifier
1508910860
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
48709 Issued in CA
Practice address
1901 Solar Dr Ste 250
Oxnard, CA 93036-0661
Phone
(805) 853-3636
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 48709 CA Primary

Addresses

Primary practice location

1901 Solar Dr Ste 250
Oxnard, CA 93036-0661

Mailing address

26972 Granite Ridge CT
Valencia, CA 91381-0627
Phone (661) 317-1842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 29, 2016 through Apr 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48709CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Chang Kattar Dental Corporation Endodontics Current Accepting new patients

Locations

8540 S Sepulveda Blvd
Ste 1210
Los Angeles, CA 90045
Phone (310) 670-0225

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1508910860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26972 GRANITE RIDGE CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913810627",
            "telephone_number": "661-317-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOLAR DR STE 250",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360661",
            "telephone_number": "805-853-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DONALD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.