Jonathan Hu Chang, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN014840 Issued in GA

Practice address

1630 Pleasant Hill Rd Ste 200
Duluth, GA 30096-5828

Phone

(770) 381-7878

NPI assigned

Jul 24, 2014

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

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1912315730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 ISLESWORTH TRCE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974326",
            "telephone_number": "626-589-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PLEASANT HILL RD STE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965828",
            "telephone_number": "770-381-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 10th St NW",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303093848",
            "country_code": "US",
            "telephone_number": "626-589-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JONATHAN",
        "middle_name": "HU",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jing Chan
• Mukta Chandora, M.D.
• Courtney Chaney
• Jennifer Mayfield Chaney, M. ED
• Hannah Chang, BCBA
• Seong Kil Chang, DC
• Chante Wellington Mitchell, PH.D., LLC
• Silas Benjamin Chaplik
• Bridget Chappell
• Garrett Charette, DMD

• Dentist in Duluth, GA
• Providers in Duluth, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.