Ricardo Chang, D.D.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN16950 Issued in FL

Practice address

9646 Pines Blvd
Pembroke Pines, FL 33024-6241

Phone

(954) 210-7994

Fax

(954) 210-7993

NPI assigned

Oct 29, 2008

Last updated

Nov 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Perfection Dental & Braces of Royal Palm Beach PA

  • General Practice Dentistry
  • Royal Palm Beach, FL
  • NPI 1558931204
  NPD Authorized official
• Smile Perfection Dental of Boynton Beach

  • Dentist
  • Boynton Beach, FL
  • NPI 1649802612
  NPD Authorized official
• Ricardo Chang DDS PA

  • General Practice Dentistry
  • Pembroke Pines, FL
  • NPI 1568827608
  Authorized official Same address or phone
• Ricardo Chang DDS PA

  • General Practice Dentistry
  • Pembroke Pines, FL
  • NPI 1750831921
  Authorized official Same address or phone

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1902059348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9646 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246241",
            "telephone_number": "954-210-7994",
            "fax_number": "954-210-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9646 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246241",
            "telephone_number": "954-210-7994",
            "fax_number": "954-210-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16950",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016623600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolaine M Chamblin, M.D.
• Wendy Chamorro
• Marlene C Chance, APRN, MSN, PHD, EJD
• Arathy Suresh Chandran, M.D.
• Jose Ernesto Chang Leyva
• Change Happens, LLC
• Changeforbetterlife
• Marjorie Chano, PA
• Chans Pharmacy Plus Inc (Chans Pharmacy Plus)
• Walter J. Chao, O.D., A.P.

• Orthodontics and Dentofacial Orthopedics Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.