NPIMap

Organization Active NPI

Ricardo Chang DDS PA

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1568827608
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16950 Issued in FL
Legal business name
RICARDO CHANG DDS PA
Practice address
9646 Pines Blvd
Pembroke Pines, FL 33024-6241
Phone
(954) 210-7994
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Ricardo Chang, DDS
Title
Orthodontist
Phone
(954) 210-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 16950 FL Primary

Addresses

Primary practice location

9646 Pines Blvd
Pembroke Pines, FL 33024-6241

Mailing address

9646 Pines Blvd
Pembroke Pines, FL 33024-6241
Phone (954) 210-7994

National Provider Directory

National Provider Directory
Tax ID family
Ricardo Chang DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1568827608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9646 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246241",
            "telephone_number": "954-210-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9646 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246241",
            "telephone_number": "954-210-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO CHANG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "954-210-7994",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "16950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.