Susan S. H. Chang DDS Inc

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

Last updated

Sep 25, 2014By 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

Dr. Susan S. H. ChangNPI 1437203213

Title

Doctor

Phone

(858) 715-8080

Specialties & licenses 1

Addresses

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.

• Susan Chang, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1437203213
  Authorized official Same address or phone

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": []
}

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• Sandhra Sushilkumar, DMD
• Susie C. Kwok DDS Inc (Uptown Dental Office)

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• 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.