Organization Active NPI

Chang Healthcare Association, Inc.

  • General Practice Dentistry
  • Roswell, GA
National Provider Identifier
1730415654
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013974 Issued in GA
Legal business name
CHANG HEALTHCARE ASSOCIATION, INC.
Practice address
415 E Crossville Rd
Ste. a
Roswell, GA 30075-7626
Phone
(678) 461-4875
Fax
(678) 461-4877
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Dr. Wei-Yen Chang, D.D.S.NPI 1073849014
Title
President
Phone
(678) 461-3875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 013974 GA Primary

Addresses

Primary practice location

415 E Crossville Rd
Ste. a
Roswell, GA 30075-7626

Mailing address

415 E Crossville Rd
Ste. a
Roswell, GA 30075-7626
Phone (678) 461-4875

National Provider Directory

National Provider Directory

Locations

415 E Crossville Rd
Ste A
Roswell, GA 30075
Phone (678) 461-3875

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1730415654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E CROSSVILLE RD",
            "address_2": "STE. A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757626",
            "telephone_number": "678-461-4875",
            "fax_number": "678-461-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E CROSSVILLE RD",
            "address_2": "STE. A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757626",
            "telephone_number": "678-461-4875",
            "fax_number": "678-461-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG HEALTHCARE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "WEI-YEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-461-3875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "013974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.