Active NPI
Chih-Chien Charlton Chang, M.D.
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1740204585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 27926
- Practice address
- 507 E Dr Martin Luther King Jr Blvd
Ste 112
Tampa, FL 33603-3932 - Phone
- (813) 229-6139
- Fax
- (813) 229-3180
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 27926 | FL | Primary |
Addresses
Primary practice location
507 E Dr Martin Luther King Jr Blvd
Ste 112
Tampa, FL 33603-3932
Mailing address
507 E Dr Martin Luther King Jr Blvd
Ste 112
Tampa, FL 33603-3932
Phone (813) 229-6139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290045 | Other | FL | VACCINES FOR CHILDREN |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 27926 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sveta Medical PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740204585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 E DR MARTIN LUTHER KING JR BLVD",
"address_2": "STE 112",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033932",
"telephone_number": "813-229-6139",
"fax_number": "813-229-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 E DR MARTIN LUTHER KING JR BLVD",
"address_2": "STE 112",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033932",
"telephone_number": "813-229-6139",
"fax_number": "813-229-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "CHIH-CHIEN",
"middle_name": "CHARLTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 27926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VACCINES FOR CHILDREN",
"identifier": "290045",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.