Michael Chang, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

14756 Issued in MD

Practice address

16220 Frederick Rd Ste 315
Gaithersburg, MD 20877-4020

Phone

(301) 926-3311

NPI assigned

Nov 19, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michael Chang DDS PC

  • Dental Clinic/Center
  • Gaithersburg, MD
  • NPI 1760099782
  NPD Authorized official
• Dental Associate

  • Pediatric Dentistry
  • Hyattsville, MD
  • NPI 1649431735
  NPD (past)
• Jun Tae Bae, DDS, LLC

  • General Practice Dentistry
  • Gaithersburg, MD
  • NPI 1780812800
  NPD (past)
• R3 Dental Group LLC

  • General Practice Dentistry
  • Hyattsville, MD
  • NPI 1255991766
  NPD (past)

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1689976805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD STE 315",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774020",
            "telephone_number": "415-920-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD STE 315",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774020",
            "telephone_number": "301-926-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413030",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Behr Chamberlin, M.D.
• Mariama Chambers
• Bete Chane
• Gisele Azeufack Dongmo Mimi Chanelle
• Lee-Jah Chang, MD
• Susan L Chang, MD
• Change Behavioral Health Services LLC
• Alexandra Chapman, R.N.
• Taoufik Charfi, PT
• Chandra Shekhar Chaurasia, PH.D, R.PH.

• Dentist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.