Chang Dental Center LTD

Primary specialty

DentistTaxonomy code 122300000X

License

019015533 Issued in IL

Legal business name

CHANG DENTAL CENTER LTD

Practice address

6070 State Route 53
Lisle, IL 60532-3395

Phone

(630) 963-4306

Fax

(630) 963-9344

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Barbara Anne Chang, DDS

Title

President

Phone

(630) 963-4306

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1811144199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 STATE ROUTE 53",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323395",
            "telephone_number": "630-963-4306",
            "fax_number": "630-963-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 STATE ROUTE 53",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323395",
            "telephone_number": "630-963-4306",
            "fax_number": "630-963-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG DENTAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-963-4306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019015533",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019023535",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Plus Pharmacy LLC
• James G Carr, MD
• Lindsay E Carr, PT
• Jocelyn Amber Carter
• Ann Louise Cerney, MS LCPC
• Chang Family Wellness Center (Chang Chiropractic Wellness Center)
• Barbara Anee Chang, DDS
• Douglas Tswun-Wah Chang, DDS
• Jae Chang, PHARM.D.
• Kristin Danielle Chang, DC

• Dentist in Lisle, IL
• Providers in Lisle, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.