NPIMap

Organization Active NPI

Michael W. Chang, DDS, PLLC

Doing business as Appalachian Dental

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1609105600
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412359 Issued in VA
Legal business name
MICHAEL W. CHANG, DDS, PLLC
Doing business as
Appalachian Dental
Practice address
3903 Fair Ridge Dr
Suite 207
Fairfax, VA 22033-2906
Phone
(703) 385-2772
Fax
(703) 935-2492
NPI assigned
Dec 22, 2009
Last updated
Dec 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Ms. Jasmine M Choi
Title
Executive Director
Phone
(703) 255-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401412359 VA Primary

Addresses

Primary practice location

3903 Fair Ridge Dr
Suite 207
Fairfax, VA 22033-2906

Mailing address

PO Box 1328
Centreville, VA 20122-8328
Phone (703) 385-2772

Other names 1

  • Appalachian Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3903 Fair Ridge Dr
Ste 207
Fairfax, VA 22033
Phone (703) 385-2772

Practitioners & affiliated clinicians

Practitioners 3

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": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1609105600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201228328",
            "telephone_number": "703-385-2772",
            "fax_number": "703-935-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 FAIR RIDGE DR",
            "address_2": "SUITE 207",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332906",
            "telephone_number": "703-385-2772",
            "fax_number": "703-935-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. CHANG, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-255-4848",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.