NPIMap

Individual provider Active NPI

Michael Chang

  • Dentist
National Provider Identifier
1851777510
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64726 Issued in CA
Practice address
Meddac-K/ TMC
Attn: Dental, Unit#15609
Apo, AP 96224-5609
Phone
821048111635
NPI assigned
Aug 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64726 CA Primary

Addresses

Primary practice location

Meddac-K/ TMC
Attn: Dental, Unit#15609
Apo, AP 96224-5609

Mailing address

Meddac-K/ TMC
Attn: Dental, Unit#15609
Apo, AP 96224-5609
Phone 821048111635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Chang Dental Corp Current Accepting new patients
Michael Chang Ontario Dental Corp Current Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1851777510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "MEDDAC-K/ TMC",
            "address_2": "ATTN: DENTAL, UNIT#15609",
            "city": "APO",
            "state": "AP",
            "postal_code": "962245609",
            "telephone_number": "821048111635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "MEDDAC-K/ TMC",
            "address_2": "ATTN: DENTAL, UNIT#15609",
            "city": "APO",
            "state": "AP",
            "postal_code": "962245609",
            "telephone_number": "821048111635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.