Individual provider Active NPI

Chris Chang, D.D.S.

  • Dentist
  • Eastvale, CA
National Provider Identifier
1871872887
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60540 Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
60540CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chris H. Chang DDS, Inc CurrentSince Nov 8, 2020 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.

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.

Verify at the official NPI Registry.