Active NPI
Jean L Chang, DDS
- Dentist
- Fresno, CA
National Provider Identifier
1780868984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39243
- Practice address
- 823 E Catalina Cir
Fresno, CA 93730-0857 - Phone
- (559) 434-2902
- Fax
- (916) 327-2476
- NPI assigned
- Dec 24, 2007
- 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 | 39243 | CA | Primary |
Addresses
Primary practice location
823 E Catalina Cir
Fresno, CA 93730-0857
Mailing address
823 E Catalina Circle
Fresno, CA 93730
Phone (559) 434-2902
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 |
|---|---|---|---|
| 39243 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1780868984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 E CATALINA CIRCLE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93730",
"telephone_number": "559-434-2902",
"fax_number": "916-327-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 E CATALINA CIR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937300857",
"telephone_number": "559-434-2902",
"fax_number": "916-327-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JEAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.