Individual provider Active NPI

Robert Nghia Chang, D.D.S.

  • General Practice Dentistry
  • Pasadena, TX
National Provider Identifier
1750472858
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20980 Issued in TX
Practice address
3315 Burke Rd Ste 303
Pasadena, TX 77504-1825
Phone
(713) 947-0293
NPI assigned
Sep 27, 2006
Last updated
May 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20980 TX Primary

Addresses

Primary practice location

3315 Burke Rd Ste 303
Pasadena, TX 77504-1825

Mailing address

3315 Burke Rd Ste 303
Pasadena, TX 77504-1825
Phone (713) 947-0293

Other identifiers 2

IdentifierTypeStateIssuer
1399766OtherTXUN. CON
1089-01OtherTXBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160317000612 TX Order and Referring Only - DentistPractitioner - Dentist 0446556401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert N Chang DDS PLLC General Practice Current Accepting new patients
Robert Nghia Chang DDS PLLC General Practice Current Accepting new patients
Seale TX4 Inc. PastSince Mar 6, 2022 Accepting new patients
Texas Premier Dental - Spring Branch, PLLC General Practice Past Accepting new patients
Aliasgar Y Mogri DDS PA General Practice Past Accepting new patients

Locations

3315 Burke Rd
Ste 303
Pasadena, TX 77504
Phone (713) 947-0293

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1750472858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 BURKE RD STE 303",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041825",
            "telephone_number": "713-947-0293",
            "fax_number": "713-947-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BURKE RD STE 303",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041825",
            "telephone_number": "713-947-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ROBERT",
        "middle_name": "NGHIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UN. CON",
            "identifier": "1399766",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1089-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.