Active NPI
Mei Kwan Chang, D.D.S.
- General Practice Dentistry
- Buffalo, NY
National Provider Identifier
1639329162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054073
- Practice address
- 956 Kenmore Ave
Buffalo, NY 14216-1450 - Phone
- (716) 874-7112
- Fax
- (716) 874-7113
- NPI assigned
- Sep 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 054073 | NY | Primary |
Addresses
Primary practice location
956 Kenmore Ave
Buffalo, NY 14216-1450
Mailing address
956 Kenmore Ave
Buffalo, NY 14216-1450
Phone (716) 874-7112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054073 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenmore Qualitycare Dentistry, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Buffalo, NY
- NPI 1902077928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1639329162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 KENMORE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142161450",
"telephone_number": "716-874-7112",
"fax_number": "716-874-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 KENMORE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142161450",
"telephone_number": "716-874-7112",
"fax_number": "716-874-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "MEI KWAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-20",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "054073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.