NPIMap

Organization Active NPI

Susan S. H. Chang DDS Inc

  • Dentist
  • San Diego, CA
National Provider Identifier
1629470216
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D40213 Issued in CA
Legal business name
SUSAN S. H. CHANG DDS INC
Practice address
7380 Clairemont Mesa Blvd
Suite #100
San Diego, CA 92111-1116
Phone
(858) 715-8080
Fax
(858) 715-8081
NPI assigned
Sep 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Dr. Susan S. H. Chang
Title
Doctor
Phone
(858) 715-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D40213 CA Primary

Addresses

Primary practice location

7380 Clairemont Mesa Blvd
Suite #100
San Diego, CA 92111-1116

Mailing address

7380 Clairemont Mesa Blvd
Suite #100
San Diego, CA 92111-1116
Phone (858) 715-8080

National Provider Directory

National Provider Directory

Locations

7380 Clairemont Mesa Blvd
Ste 100
San Diego, CA 92111
Phone (858) 715-8080

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1629470216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 CLAIREMONT MESA BLVD",
            "address_2": "SUITE #100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111116",
            "telephone_number": "858-715-8080",
            "fax_number": "858-715-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 CLAIREMONT MESA BLVD",
            "address_2": "SUITE #100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111116",
            "telephone_number": "858-715-8080",
            "fax_number": "858-715-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN S. H. CHANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S. H.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "858-715-8080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D40213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.