Organization Active NPI

Dr. Andy Chang DDS, Ms, PA

  • Prosthodontics
  • Richardson, TX
National Provider Identifier
1609082270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18994 Issued in TX
Legal business name
DR. ANDY CHANG DDS, MS, PA
Practice address
1111 N Floyd Rd
Suite D
Richardson, TX 75080-4242
Phone
(972) 644-7770
Fax
(972) 644-7772
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennie Ha Luong
Title
Regional Manager
Phone
(214) 909-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 18994 TX Primary

Addresses

Primary practice location

1111 N Floyd Rd
Suite D
Richardson, TX 75080-4242

Mailing address

1111 N Floyd Rd
Suite D
Richardson, TX 75080-4242
Phone (972) 644-7770

National Provider Directory

National Provider Directory

Locations

1111 N Floyd Rd
Ste D
Richardson, TX 75080
Phone (972) 644-7770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609082270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N FLOYD RD",
            "address_2": "SUITE D",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804242",
            "telephone_number": "972-644-7770",
            "fax_number": "972-644-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N FLOYD RD",
            "address_2": "SUITE D",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804242",
            "telephone_number": "972-644-7770",
            "fax_number": "972-644-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDY CHANG DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "HA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "214-909-3764"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "18994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.