Organization Active NPI

Changndds, Inc

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1902399637
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DDS37267 Issued in CA
Legal business name
CHANGNDDS, INC
Practice address
3161 Senter Rd Ste F&G
San Jose, CA 95111-1300
Phone
(408) 363-1787
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Dr. Nghiem Chang, DDS
Title
President
Phone
(408) 363-1767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DDS37267 CA Primary

Addresses

Primary practice location

3161 Senter Rd Ste F&G
San Jose, CA 95111-1300

Mailing address

3161 Senter Rd Ste F&G
San Jose, CA 95111-1300
Phone (408) 363-1787

National Provider Directory

National Provider Directory

Locations

3161 Senter Rd
Ste Fg
San Jose, CA 95111
Phone (408) 363-1787

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1902399637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 SENTER RD STE F&G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111300",
            "telephone_number": "408-363-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 SENTER RD STE F&G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111300",
            "telephone_number": "408-363-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGNDDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "NGHIEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-363-1767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "DDS37267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.