Jenny Chang DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN19068 Issued in MA

Legal business name

JENNY CHANG DMD, PC

Doing business as

International Place Dental Associates

Practice address

1 International PL
7TH Floor
Boston, MA 02110-2602

Phone

(617) 330-8887

Fax

(617) 330-8730

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ching-Ju J Chang, DMD, SC

Title

Owner

Phone

(617) 330-8887

Specialties & licenses 1

Addresses

Other names 1

• International Place Dental Associates Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mayani Dental Group LLC

  • General Practice Dentistry
  • Boston, MA
  • NPI 1952706251
  NPPES parent name

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1639437015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INTERNATIONAL PL",
            "address_2": "7TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102602",
            "telephone_number": "617-330-8887",
            "fax_number": "617-330-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INTERNATIONAL PL",
            "address_2": "7TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102602",
            "telephone_number": "617-330-8887",
            "fax_number": "617-330-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY CHANG DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHING-JU",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-330-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, SC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN19068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Place Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Jennings
• Mark William Jennings, M.D.
• Mary Carol Jennings, M.D.
• Tara Jennings, N.P.
• Timothy Jennings
• Karen Naimoli Jensen, RN, MS, APRN
• Tyler Barry Jensen, MD
• Alexandra Nicole Jenson, MD
• Sara A Jentoft, NP
• Ah Yeon Jeong

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.