Lisa Chang, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

058763-1 Issued in NY

Practice address

2290 Delaware Ave Ste 300
Buffalo, NY 14216-2632

Phone

(716) 321-0629

NPI assigned

Jun 24, 2015

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1811379019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 DELAWARE AVE STE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162632",
            "telephone_number": "716-321-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 DELAWARE AVE STE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162632",
            "telephone_number": "716-321-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058763-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04575077",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chanel Freeman NP in Psychiatry PLLC
• Mia Chaney, LPN
• Andrew Henry Chang, MD
• Eric Chang, DO
• June Irene Chang, MD
• Martin Chang
• Matthew Daniel Chang
• Mei Kwan Chang, D.D.S.
• Shirley S. Chang, M.D.
• Margaret Young Chao

• Dentist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.