Hee Jin Chang DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HEE JIN CHANG DDS, INC

Doing business as

Hue Dental Group

Practice address

3201 W Olympic Blvd
Los Angeles, CA 90006-3392

Phone

(213) 384-2828

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Hee Jin Chanag, DDS

Title

Ceo

Phone

(213) 823-0429

Specialties & licenses 1

Addresses

Other names 1

• Hue Dental Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hee Jin Chang

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1740021104
  Medicare reassignment NPD

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1871335364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063392",
            "telephone_number": "213-384-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063392",
            "telephone_number": "213-384-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEE JIN CHANG DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "CHANAG",
        "authorized_official_first_name": "HEE JIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-823-0429",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hue Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gilbert Wayne Hedgpeth
• Nicole L Hedlund, AMFT
• Rebecca Marie Hedrick, MD
• Jasmine Hedvat
• Hee Jee Yoon DDS, Inc.
• Hee Soo Jeong MD a Professional Medical Corporation
• Timothy Richard Heege-Graves
• Jaeden Heesch
• Isaac G Heesen, APRN-RX
• Jennifer Heetderks, PSYD

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.