NPIMap

Organization Active NPI

Cape Cod Dental Group

  • Dentist
  • West Harwich, MA
National Provider Identifier
1578343240
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CAPE COD DENTAL GROUP
Practice address
129 Route 28
West Harwich, MA 02671-1221
Phone
(508) 214-4249
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Dr. Ching-Ju Jenny Chang, DMDNPI 1053433987
Title
President
Phone
(508) 654-8588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

129 Route 28
West Harwich, MA 02671-1221

Mailing address

129 Route 28
West Harwich, MA 02671-1221
Phone (508) 214-4249

Other practice location 1

55 Oak Rd
Eastham, MA 02642-1682
Phone (508) 214-4249

Other names 1

  • Cape Cod Dental Group Former legal business name

National Provider Directory

National Provider Directory

Locations

129 Route 28
West Harwich, MA 02671
Phone (508) 214-4249

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1578343240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 ROUTE 28",
            "city": "WEST HARWICH",
            "state": "MA",
            "postal_code": "026711221",
            "telephone_number": "508-214-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 ROUTE 28",
            "city": "WEST HARWICH",
            "state": "MA",
            "postal_code": "026711221",
            "telephone_number": "508-214-4249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Eastham",
            "state": "MA",
            "postal_code": "026421682",
            "country_code": "US",
            "telephone_number": "508-214-4249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPE COD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHING-JU",
        "authorized_official_middle_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-654-8588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Cod Dental Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Harwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.