Ryan Chang

Primary specialty

DentistTaxonomy code 122300000X

License

108032 Issued in CA

Practice address

3297 Arlington Ave Ste 101
Riverside, CA 92506-3250

Phone

(951) 683-6055

NPI assigned

Sep 13, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Nguyen and Watanabe Dental Corporation

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1326131517
  NPD (past)

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1730801044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5988 SYCAMORE CANYON BLVD APT 3110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070885",
            "telephone_number": "818-522-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 ARLINGTON AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063250",
            "telephone_number": "951-683-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody A Chang, MD
• Ming-Chuan Chang, WHNP-BC,, PH.D.
• Nafky Chang
• Pamella Chang, O.D.
• Peter Y Chang, MD
• Victor Chang, DO
• Eric Changchien, MD
• Change the Influence
• Laura Milena Channer, MSW, LCSW
• Alivia Channon

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.