Brice Chang, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D8019 Issued in OR

Practice address

350 Pacific Ave Ste 101
Brookings, OR 97415-0241

Phone

(541) 469-0192

Fax

(360) 892-8902

NPI assigned

Nov 1, 2006

Last updated

Apr 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brice Chang Dentist PC

  dba Brookings Dental Arts

  • General Practice Dentistry
  • Brookings, OR
  • NPI 1487233474
  NPD (past)
• Joshua Williams D.M.D. PC

  dba Orchards Family Dental

  • Dentist
  • Vancouver, WA
  • NPI 1285863597
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1831276641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PACIFIC AVE",
            "address_2": "P.O. BOX 4370",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "97415",
            "telephone_number": "541-469-0192",
            "fax_number": "541-459-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PACIFIC AVE STE 101",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150241",
            "telephone_number": "541-469-0192",
            "fax_number": "360-892-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "BRICE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "D00009300",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arman Carrasco, PA-C
• Alisha Machell Carroll, CRM, PSS, CHW, QMHAR
• Michelle Marie Carstensen, LMFT
• Mersadies Castleberry
• Sai Yang Cha
• Chetco Anesthesia Services LLC
• Chetco Medical & Aesthetics LLC
• Shirley Garmin Cheung, DMD
• Eugene Chickinell, DDS
• John Paul Zane Christian

• Dentist in Brookings, OR
• Providers in Brookings, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.