NPIMap

Organization Active NPI

Emily B. Chang, D.D.S., LLC

  • General Practice Dentistry
  • Somerville, MA
National Provider Identifier
1710125588
Registry record updated Feb 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21812 Issued in MA
Legal business name
EMILY B. CHANG, D.D.S., LLC
Practice address
474 Broadway Apt 110
Somerville, MA 02145-2630
Phone
(617) 623-2223
NPI assigned
Feb 1, 2009
Last updated
Feb 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2009

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

Authorized official

Name
Dr. Emily B. ChangNPI 1487707030
Title
Dentist
Phone
(617) 623-2223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21812 MA Primary

Addresses

Primary practice location

474 Broadway Apt 110
Somerville, MA 02145-2630

Mailing address

474 Broadway Apt 110
Somerville, MA 02145-2630
Phone (617) 623-2223

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1233446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233446400000",
    "number": "1710125588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 BROADWAY APT 110",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452630",
            "telephone_number": "617-623-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 BROADWAY APT 110",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452630",
            "telephone_number": "617-623-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY B. CHANG, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-01",
        "last_updated": "2009-02-01",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-623-2223",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.