Active NPI
Alicia Chang
- Dentist
- Buena Park, CA
National Provider Identifier
1760662209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56265
- Practice address
- 6850 Lincoln Ave Suite 101
Buena Park, CA 90620-4178 - Phone
- (714) 995-6000
- NPI assigned
- Nov 13, 2007
- Last updated
- Aug 30, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 56265 | CA | Primary |
Addresses
Primary practice location
6850 Lincoln Ave Suite 101
Buena Park, CA 90620-4178
Mailing address
2729 Pepperdale Dr
Rowland Heights, CA 91748-4933
Phone (213) 327-4648
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56265 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. a. Chang DDS, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Buena Park, CA
- NPI 1598019036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1760662209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2729 PEPPERDALE DR",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917484933",
"telephone_number": "213-327-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 LINCOLN AVE SUITE 101",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204178",
"telephone_number": "714-995-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.