Michael Chang Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL CHANG DENTAL CORP

Practice address

142 W Base Line Rd Ste B
Rialto, CA 92376-3302

Phone

(909) 341-5325

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By 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. Michael Chang, DDSNPI 1851777510

Title

President

Phone

(213) 294-1462

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Michael Chang

  • Dentist
  • NPI 1851777510
  NPD Authorized official
• Hanvin Kang, DDS

  • Dentist
  • Rialto, CA
  • NPI 1457181695
  NPD

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1659022887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S GRAND AVE APT 2612",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154659",
            "telephone_number": "213-294-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W BASE LINE RD STE B",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763302",
            "telephone_number": "909-341-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CHANG DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-294-1462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Charles Mendoza, PH.D.
• Meritaxis Medical Billing LLC
• Wanda Meyer, FNP
• Ana B Meza, NP
• Shannon Michelle Meza
• Miguel Uribe D.D.S Inc D.B.a Santa Cruz Dental (Santa Cruz Dental Office)
• Laurenza Mijares
• Zakia Nailah Miles
• Carla Miller
• Cynthia Miller

• Dental Clinic/Center in Rialto, CA
• Providers in Rialto, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.