Individual provider Active NPI

Erica Chang, DMD

  • Dentist
  • Round Rock, TX
National Provider Identifier
1861846255
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34449 Issued in TX
Practice address
2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001
Phone
(737) 220-1800
Fax
(737) 220-1818
NPI assigned
Apr 21, 2016
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015483 GA
Dentist 122300000X 34449 TX Primary
General Practice Dentistry 1223G0001X 34449 TX
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001

Mailing address

2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001
Phone (737) 220-1800

Other practice location 1

4250 Clear Creek Rd
Suite 213
Fort Hood, TX 76544
Phone (254) 285-2014

Other practice location 2

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 712-9662

Other practice location 3

3330 Piedmont Rd #13
Atlanta, GA 30305-1716
Phone (404) 237-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Opted out of Medicare
Yes, effective Jul 20, 2026 through Jul 20, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927003476 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153695275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34449TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
101 Dental Professional Corporation Current Accepting new patients

Locations

2000 Sam Bass Rd
Ste 108
Round Rock, TX 78681
Phone (512) 341-3200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1861846255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SAM BASS RD STE 108",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812001",
            "telephone_number": "737-220-1800",
            "fax_number": "737-220-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SAM BASS RD STE 108",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812001",
            "telephone_number": "737-220-1800",
            "fax_number": "737-220-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Clear Creek Rd",
            "address_2": "Suite 213",
            "address_purpose": "LOCATION",
            "city": "Fort Hood",
            "state": "TX",
            "postal_code": "76544",
            "country_code": "US",
            "telephone_number": "254-285-2014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-712-9662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Piedmont Rd #13",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303051716",
            "country_code": "US",
            "telephone_number": "404-237-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015483",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34449",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34449",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.