Ian Chang

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

621 Cowboys Pkwy # 3067
Irving, TX 75063-5455

Phone

(214) 791-1245

NPI assigned

Apr 26, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1568044816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 COWBOYS PKWY # 3067",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635455",
            "telephone_number": "214-791-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 COWBOYS PKWY # 3067",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635455",
            "telephone_number": "214-791-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "IAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462865809",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Irving",
            "affiliation": "N",
            "endpointDescription": "Apartment",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "621 Cowboys Pkwy # 3067",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750635455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glenda K Chambers, RN
• Bernita Gallagher Chance, RNP
• Monet Chandler
• Karpukkarasi Chandrasekaran, M.D
• Darshna Somaiya Chandrasekhara, MD
• Samantha Nicole Chang, ND, L.AC
• Won Ung Chang, DC
• Changing Point Personal Care Agency Inc
• Chantastic, PLLC
• Carlos Chapa, L.AC, PHD

• Behavior Technician in Irving, TX
• Providers in Irving, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.