Millie Mary Chang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010347A Issued in IN

Practice address

8136 Bash St
Indianapolis, IN 46250-2000

Phone

(317) 577-6453

Fax

(317) 577-6456

NPI assigned

Aug 29, 2006

Last updated

Sep 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signature Smile Family

  • Dental Clinic/Center
  • Indianapolis, IN
  • NPI 1699562306
  NPD Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1639287576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 CHADWICK DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460334810",
            "telephone_number": "317-569-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 BASH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502000",
            "telephone_number": "317-577-6453",
            "fax_number": "317-577-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MILLIE",
        "middle_name": "MARY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010347A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Sue Chang, MD
• Joan Chyong-Wen Chang, DO
• Juan J Chang, M.D.
• Justin P. Chang, M.D.
• Lily Sy Chang, M.D.
• Myungwon Christine Chang, MD
• Peggy S Chang, MD
• Rachel Chang, MD
• Valerie N. Chang, PHD, LCSW
• Xuyao Chang

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

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