Active NPI
Ricardo Chang DDS PA
- General Practice Dentistry
- Pembroke Pines, FL
National Provider Identifier
1750831921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- RICARDO CHANG DDS PA
- Practice address
- 9646 Pines Blvd
Pembroke Pines, FL 33024-6241 - Phone
- (954) 210-7994
- Fax
- (954) 210-7993
- NPI assigned
- Oct 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricardo Chang
- Title
- Owner
- Phone
- (954) 210-7994
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
9646 Pines Blvd
Pembroke Pines, FL 33024-6241
Mailing address
9646 Pines Blvd
Pembroke Pines, FL 33024-6241
Phone (954) 210-7994
National Provider Directory
National Provider Directory- Tax ID family
- Ricardo Chang DDS PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Pembroke Pines, FL
- NPI 1568827608
Locations
9646 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 210-7994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476144000000",
"number": "1750831921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9646 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246241",
"telephone_number": "954-210-7994",
"fax_number": "954-210-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9646 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246241",
"telephone_number": "954-210-7994",
"fax_number": "954-210-7993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICARDO CHANG DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-210-7994"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.