Chang W Ryu DDS, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHANG W RYU DDS, PC

Doing business as

Austin Pearls Pediatric Dentistry

Practice address

3607 Manor Rd # 103
Austin, TX 78723

Phone

(512) 270-1071

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Chang Ryu, DDSNPI 1376831206

Title

Owner

Phone

(512) 494-6767

Specialties & licenses 1

Addresses

Other names 1

• Austin Pearls Pediatric Dentistry 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.

• Chang Woo Ryu, DDS

  • Pediatric Dentistry
  • Austin, TX
  • NPI 1376831206
  NPD (past) Authorized official

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1740799048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 MANOR RD # 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787235812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 MANOR RD # 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-270-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG W RYU DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "CHANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-494-6767",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Pearls Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suganya Chandramohan, MD
• Meera Chandrasekaran, D.D.S.
• Parvatham Chandrashekar, DDS
• Katherine Chaney, M.S. CF-SLP
• Whitney Elizabeth Chaney, DDS
• Wen Chang-Lit, MA,LCAT,MTBC
• Anson Chang
• Brenda Lin Chang, PA-C
• C Lin Chang
• C May Chang

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.