Paul Peng Chang, DDS MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

23754 Issued in TX

Practice address

321 N Central Expy Ste 102
McKinney, TX 75070-3544

Phone

(972) 540-5700

Fax

(214) 544-8700

NPI assigned

Jan 7, 2008

Last updated

Jul 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Periodontics & Implant Center of McKinney

  • Periodontics
  • McKinney, TX
  • NPI 1790928604
  NPD (past) Authorized official

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1548445711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N CENTRAL EXPY STE 102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703544",
            "telephone_number": "972-540-5700",
            "fax_number": "214-544-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N CENTRAL EXPY STE 102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703544",
            "telephone_number": "972-540-5700",
            "fax_number": "214-544-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PAUL",
        "middle_name": "PENG",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS037380",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "23754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L. Chan, M.D.
• Becky L Chandler, M.D.
• Bill PO Wei Chang, D.D.S.
• Daniel E Chang, D.M.D.
• Kevin Chang
• Changes Premier Health , LLC (Changes McKinney)
• Changes Premier Health , LLC
• Chansol PLLC
• Elisha Chapman, CSFA
• John Michael Chapman, PAC

• Periodontics in McKinney, TX
• Providers in McKinney, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.