Individual provider Active NPI

Cary Kealiiolani Chang, D.D.S.

  • General Practice Dentistry
  • Kaneohe, HI
National Provider Identifier
1659412773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1553 Issued in HI
Practice address
46-001 Kamehameha Hwy
Suite 318
Kaneohe, HI 96744-3711
Phone
(808) 236-1336
Fax
(808) 234-0176
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1553 HI Primary

Addresses

Primary practice location

46-001 Kamehameha Hwy
Suite 318
Kaneohe, HI 96744-3711

Mailing address

46-001 Kamehameha Hwy
Suite 318
Kaneohe, HI 96744-3711
Phone (808) 236-1336

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

LicenseStateTypeSpecialty
1553HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaizen Dental Center Kaneohe PastSince Sep 5, 2023 Accepting new patients
Cary K Chang DDS, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659412773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY",
            "address_2": "SUITE 318",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443711",
            "telephone_number": "808-236-1336",
            "fax_number": "808-234-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY",
            "address_2": "SUITE 318",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443711",
            "telephone_number": "808-236-1336",
            "fax_number": "808-234-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CARY",
        "middle_name": "KEALIIOLANI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.