Active NPI
Jamey S. Chang, DMD
- General Practice Dentistry
- Villa Rica, GA
National Provider Identifier
1902944812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012559
- Practice address
- 865 S. Carroll Rd.
Suite C
Villa Rica, GA 30180 - Phone
- (770) 459-4131
- NPI assigned
- Feb 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012559 | GA | Primary |
Addresses
Primary practice location
865 S. Carroll Rd.
Suite C
Villa Rica, GA 30180
Mailing address
169 Reid Plantation Dr.
Villa Rica, GA 30180
Phone (770) 459-4131
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 |
|---|---|---|---|
| DN012559 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDowell & Co., LLC | Past | Accepting new patients | |
| Villa Rica Family Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Carrollton, GA
- NPI 1306139142
-
- General Practice Dentistry
- Villa Rica, GA
- NPI 1780832386
-
- General Practice Physician
- Villa Rica, GA
- NPI 1154029114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902944812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 REID PLANTATION DR.",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "30180",
"telephone_number": "770-459-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 S. CARROLL RD.",
"address_2": "SUITE C",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "30180",
"telephone_number": "770-459-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JAMEY",
"middle_name": "S.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villa Rica, GA
- Carrollton Orthopaedic Clinic, PC (Villa Rica Orthopaedics)
- Center for Allergy & Asthma of Georgia PC
- Center for General Medicine Inc
- Heather A Chambley, NP
- Tara Elizabeth Chaney, FNP-C
- Latanya Renee Chapman, MD
- Zeinab Charmchi, MD
- Chattahoochee Healthcare LLC (Villa Rica Ear Nose & Throat)
- Muhammad Hasan Chauhan, DMD
- Robin Renee Childress-Rodriguez, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.