Nai-Yuan Nicholas Chang, MD, DDS, PHD

Primary specialty

DentistTaxonomy code 122300000X

License

D11590 Issued in OR

Practice address

2045 Madrona Ave SE # 150
Salem, OR 97302-1149

Phone

(503) 809-4784

NPI assigned

Sep 1, 2021

Last updated

Sep 13, 2024By 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 OR

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

Doctor of Medicine, Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: nchang144923@direct.ohsu.edu

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1548938749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 SW BAIRD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195121",
            "telephone_number": "319-795-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 MADRONA AVE SE # 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021149",
            "telephone_number": "503-809-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "NAI-YUAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD, DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11590",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS106391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Chandler
• McKenna Chandler, PA-S
• Satyanarayana Chandragiri, M.D.
• Chandras Clinic PC
• Carol Chang, DO
• Change Associates LLC
• Phillip Chapin, CADC-R
• Trisha Lee Chapin
• Lindsey M Chapman, B.S.
• Terri Lynn Chapman, LPC

• Dentist in Salem, OR
• Providers in Salem, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.