George Da-Chang Hwang, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

60465 Issued in CA

Practice address

60 MDG/Sgic
Travis Afb, CA 94533

Phone

(707) 423-7001

NPI assigned

Jul 5, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1760779326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DENTAL CLINIC, DAVID GRANT MEDICAL CENTER",
            "address_2": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MDG/SGIC",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-423-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Professional Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956617747",
            "country_code": "US",
            "telephone_number": "916-961-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "GEORGE",
        "middle_name": "DA-CHANG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "60465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "60465",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Xeng Huong, D.P.M.
• Kelley Anne Hursh, D.M.D.
• Nicholas Andrew Hussey, PHARMD
• Daniel Hutchinson, DO
• Paul Hutchinson, M.D.
• Laura Lea Ibanez, BSN, RN
• Ilda Y Isaza, D.O.
• Mary Issitt, IDMT
• Nicole Ivy-Kutzler, WHNP
• Joshua Izenbart, DPT

• Endodontics in Travis Afb, CA
• Providers in Travis Afb, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.