Organization Active NPI

Chang Chiropractic Inc

  • Clinic/Center
  • Jensen Beach, FL
National Provider Identifier
1821038639
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH8405 Issued in FL
Legal business name
CHANG CHIROPRACTIC INC
Practice address
1803 NE Jensen Beach Blvd
Jensen Beach, FL 34957-7233
Phone
(772) 334-1377
NPI assigned
Jun 8, 2006
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Dr. Joey Brian Chang, D.C.NPI 1760424527
Title
Owner
Phone
(772) 337-1377

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
Clinic/Center 261Q00000X CH8405 FL Primary

Addresses

Primary practice location

1803 NE Jensen Beach Blvd
Jensen Beach, FL 34957-7233

Mailing address

1803 NE Jensen Beach Blvd
Jensen Beach, FL 34957-7233
Phone (772) 334-1377

Other identifiers 1

IdentifierTypeStateIssuer
64015OtherFLBLUE CROSS BLUE SHIELD FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060623000149 FL Part B Supplier - Clinic/Group Practice 2769494368 Receives reassigned benefits from 1 practitioner
Practice locations: Jensen Beach, FL

National Provider Directory

National Provider Directory

Locations

1803 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-1377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1821038639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349577233",
            "telephone_number": "772-334-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349577233",
            "telephone_number": "772-334-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-337-1377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH8405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "64015",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.