Individual provider Active NPI

Richard K Chang, D.D.S.

  • General Practice Dentistry
  • Alhambra, CA
National Provider Identifier
1558375691
Registry record updated Sep 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38816 Issued in CA
Practice address
937 E Main St
Alhambra, CA 91801-4135
Phone
(626) 285-0285
Fax
(626) 281-3866
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38816 CA Primary

Addresses

Primary practice location

937 E Main St
Alhambra, CA 91801-4135

Mailing address

937 E Main St
Alhambra, CA 91801-4135
Phone (626) 285-0285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38816CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Ma Dental Corporation General Practice PastSince Dec 17, 2023 Accepting new patients
Dr. Richard Y. Chang Dental Corporation Past Accepting new patients

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1558375691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 E MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014135",
            "telephone_number": "626-285-0285",
            "fax_number": "626-281-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 E MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014135",
            "telephone_number": "626-285-0285",
            "fax_number": "626-281-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "RICHARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.