Nelson Chang

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38472 Issued in TX

Practice address

100 Wolfe Nursery Rd Ste 180
Stephenville, TX 76401-3767

Phone

(254) 965-1931

NPI assigned

Jun 8, 2022

Last updated

Jun 8, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Stephenville Dental, PLLC

  • General Practice Dentistry
  • Stephenville, TX
  • NPI 1548643786
  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1841929502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N INTERSTATE 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438",
            "telephone_number": "940-220-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOLFE NURSERY RD STE 180",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013767",
            "telephone_number": "254-965-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "NELSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Holzbauer de Castellanos, D.O.
• Kylee Rae Castillo, M.S., LPC-I, C.A.R.T
• Central Texas Healthcare Services (Central Texas Surgical Services)
• Stephanie Nicole Cervetto, D.D.S.
• Elizabeth L. Chambers, L.P.C.
• Anika Noelle Chavarria Prine, MS
• Maria Eugenia Chavez
• Chiropractic & Spinal Decompression Center P. C.
• Ashlee Cillessen, SLP
• City of Stephenville (Stephenville Fire Dept)

• General Practice Dentistry in Stephenville, TX
• Providers in Stephenville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.