Carol C Chang, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20110 Issued in TX

Legal business name

CAROL C CHANG, DDS, PA

Doing business as

Crestwater Dental

Practice address

17125 Westheimer Rd
Houston, TX 77082-1259

Phone

(281) 277-3405

NPI assigned

Dec 12, 2009

Organization subpart

No

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

Authorized official

Name

Carol C Chang, DDSNPI 1649362542

Title

Owner

Phone

(281) 277-3405

Specialties & licenses 1

Addresses

Other names 1

• Crestwater Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol C Chang, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1649362542
  NPD (past) Authorized official

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

{
    "created_epoch": "1260576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1720317290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17125 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821259",
            "telephone_number": "281-277-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17125 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821259",
            "telephone_number": "281-277-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL C CHANG, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-12",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-277-3405",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwater Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Grady Carney, MD
• Sarah Carney
• Jamie Caro Milla
• Carocare Healthcare Services, Inc.
• Carol a Strickland MD PA
• Carol L Slette O.D.
• Carol L. Price D.D.S., P.C.
• Carol S Miers Marriage and Family Therapy PLLC
• Carole and Ronald Krist Samaritan Counseling Center
• Carolina Pintos Therapy-Lymphatic Draiange & Post Op Treatments, PLLC

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.