Eddie Chang DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

46367 Issued in CA

Legal business name

EDDIE CHANG DDS, INC.

Practice address

31940 Temecula Pkwy
Suite C-2
Temecula, CA 92592-3836

Phone

(951) 303-9555

Fax

(951) 303-3311

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Eddie Chang, DDS, MS

Title

Ceo

Phone

(951) 303-9555

Specialties & licenses 1

Addresses

Other names 1

• Just 4 Kids Doing business as

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1598024739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31940 TEMECULA PKWY",
            "address_2": "SUITE C-2",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923836",
            "telephone_number": "951-303-9555",
            "fax_number": "951-303-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31940 TEMECULA PKWY",
            "address_2": "SUITE C-2",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923836",
            "telephone_number": "951-303-9555",
            "fax_number": "951-303-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE CHANG DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-303-9555",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just 4 Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Early Education Center for Autism (Eeca)
• Elicia Echegoyen
• Joseph Echevarria
• Dwight Winslow Eckard, D.D.S.
• Ecm Advocate, LLC
• Kayla Nicole Eddings, M.A.
• A Ja Edwards
• Brittany Edwards
• Elena Edwards, MA SLP-CCC
• Heidi Suzanne Edwards, MS

• Pediatric Dentistry in Temecula, CA
• Providers in Temecula, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.