Dr. a. Chang DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

56265 Issued in CA

Legal business name

DR. A. CHANG DDS, INC

Practice address

6850 Lincoln Ave Ste 101
Buena Park, CA 90620-4179

Phone

(714) 995-6000

Fax

(714) 995-6002

NPI assigned

Nov 6, 2012

Last updated

Nov 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia ChangNPI 1760662209

Title

Director

Phone

(714) 995-6000

Specialties & licenses 1

Addresses

Locations

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.

• Alicia Chang

  • Dentist
  • Buena Park, CA
  • NPI 1760662209
  NPD (past) Authorized official

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1598019036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LINCOLN AVE. SUITE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90620",
            "telephone_number": "714-995-6000",
            "fax_number": "714-995-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LINCOLN AVE STE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204179",
            "telephone_number": "714-995-6000",
            "fax_number": "714-995-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. A. CHANG DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-995-6000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.