Michael K Chang, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

54976 Issued in CA

Practice address

10 El Camino Real Ste 201
San Carlos, CA 94070-2451

Phone

(650) 598-0888

NPI assigned

May 27, 2009

Last updated

Mar 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Roytman Dental Corporation

  dba Gentle Dental Community San Francisco

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1720043961
  NPD (past)
• William Cox Dental Corporation

  dba Gentle Dental Community San Francisco

  • Dentist
  • San Francisco, CA
  • NPI 1225066269
  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1639304280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EL CAMINO REAL STE 201",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702451",
            "telephone_number": "650-598-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EL CAMINO REAL STE 201",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702451",
            "telephone_number": "650-598-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-03-07",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "54976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph T Chambers
• Emily M Chan
• Margaret Chan, M.D.
• Sharon S Chan, M.S.
• Eun A Chang, PHARM.D
• Rose Shu-May Chao-Burns, P.T.
• Karina Chapa
• Roslyn Chaplin, MFTI, LMHC
• Dawn Marie Chapman
• Charonis Chiropractic Corporation

• Orthodontics and Dentofacial Orthopedics Dentistry in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.