Active NPI
Chris Chang, D.D.S.
- Dentist
- Eastvale, CA
National Provider Identifier
1871872887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60540
- Practice address
- 5337 Hamner Ave Unit 707
Eastvale, CA 91752-1042 - Phone
- (951) 325-4600
- Fax
- (951) 325-4494
- NPI assigned
- Aug 8, 2011
- Last updated
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60540 | CA | Primary |
Addresses
Primary practice location
5337 Hamner Ave Unit 707
Eastvale, CA 91752-1042
Mailing address
5337 Hamner Ave Unit 707
Eastvale, CA 91752-1042
Phone (951) 325-4600
Other practice location 1
15916 Hanover Way
Chino Hills, CA 91709-8792
Phone (909) 993-7299
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60540 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris H. Chang DDS, Inc | Current | Accepting new patients |
Locations
5337 Hamner Ave
Unit 707
Eastvale, CA 91752
Phone (951) 325-4600
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.
-
- Dental Clinic/Center
- Eastvale, CA
- NPI 1285147926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1871872887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5337 HAMNER AVE UNIT 707",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917521042",
"telephone_number": "951-325-4600",
"fax_number": "951-325-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5337 HAMNER AVE UNIT 707",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917521042",
"telephone_number": "951-325-4600",
"fax_number": "951-325-4494"
}
],
"practiceLocations": [
{
"address_1": "15916 Hanover Way",
"address_purpose": "LOCATION",
"city": "Chino Hills",
"state": "CA",
"postal_code": "917098792",
"country_code": "US",
"telephone_number": "909-993-7299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "CHRIS",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-08",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.