Hoon Young Chang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41902 Issued in CA

Practice address

164 W Hospitality LN Ste 14
San Bernardino, CA 92408-3329

Phone

(909) 888-7817

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alex Young Chang Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hospitality Dental Group Inc

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1902455694
  NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891815197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LN STE 14",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083329",
            "telephone_number": "909-888-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LN STE 14",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083329",
            "telephone_number": "909-888-7817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2413 W 17th Street",
            "address_2": "Westpark Family Dental",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "92706",
            "country_code": "US",
            "telephone_number": "714-554-0513",
            "fax_number": "714-554-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "HOON",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "CHANG",
            "middle_name": "YOUNG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ian Phillip Chand, PH.D.
• Kwyla Chaney
• Chang Lee MD Inc
• Gabriel Chang
• Henry K. Chang
• Janet Chang
• Jocelyn Joy Chang, MD
• Maria Chang, DPT
• Samantha Ally Chang
• Shao Huai Chang

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.