Active NPI
Chee Chiang Chang, DDS
- Dentist
- Sacramento, CA
National Provider Identifier
1730154394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47858
- Practice address
- 1824 Avondale Ave Ste B
Sacramento, CA 95825-1378 - Phone
- (916) 481-0594
- Fax
- (916) 481-2510
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47858 | CA | Primary |
Addresses
Primary practice location
1824 Avondale Ave Ste B
Sacramento, CA 95825-1378
Mailing address
1824 Avondale Ave Ste B
Sacramento, CA 95825-1378
Phone (916) 481-0594
Other practice location 1
9198 Greenback Ln Ste 210
Orangevale, CA 95662-5901
Phone (916) 294-7737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4785802 | Other | MEDI-CAL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chee Chang Ddsa Professional Corporation | Past | Accepting new patients | |
| James H Mucci, 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.
-
- Dental Clinic/Center
- Sacramento, CA
- NPI 1295278844
-
- General Practice Dentistry
- Sacramento, CA
- NPI 1578614186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1730154394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 AVONDALE AVE STE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251378",
"telephone_number": "916-481-0594",
"fax_number": "916-481-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 AVONDALE AVE STE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251378",
"telephone_number": "916-481-0594",
"fax_number": "916-481-2510"
}
],
"practiceLocations": [
{
"address_1": "9198 Greenback Ln Ste 210",
"address_purpose": "LOCATION",
"city": "Orangevale",
"state": "CA",
"postal_code": "956625901",
"country_code": "US",
"telephone_number": "916-294-7737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "CHEE",
"middle_name": "CHIANG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "B4785802",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.