NPIMap

Organization Active NPI

Chang Family Dental

  • General Practice Dentistry
  • Fairbanks, AK
National Provider Identifier
1770129538
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHANG FAMILY DENTAL
Practice address
421 3Rd St
Fairbanks, AK 99701-3506
Phone
(907) 456-1237
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Dr. Ecsile Chang, DMDNPI 1932639218
Title
Owner
Phone
(907) 978-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

421 3Rd St
Fairbanks, AK 99701-3506

Mailing address

210 Well St
Fairbanks, AK 99701-3012
Phone (907) 978-8877

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1770129538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WELL ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013012",
            "telephone_number": "907-978-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 3RD ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013506",
            "telephone_number": "907-456-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ECSILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-978-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.