Danny Hyunjae Chang, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859956 Issued in MA

Practice address

542 River St
Mattapan, MA 02126-3014

Phone

(617) 322-9773

NPI assigned

May 9, 2023

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 names 1

• Hyunjae Chang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shoe City Family Dental PC

  • Dental Clinic/Center
  • Haverhill, MA
  • NPI 1487267282
  NPD (past)

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1912697335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MOUNT PLEASANT AVE UNIT 1",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193350",
            "telephone_number": "781-539-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021263014",
            "telephone_number": "617-322-9773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306208",
            "country_code": "US",
            "telephone_number": "978-971-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1138 River St",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "MA",
            "postal_code": "021362970",
            "country_code": "US",
            "telephone_number": "617-361-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DANNY",
        "middle_name": "HYUNJAE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859956",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HYUNJAE",
            "last_name": "CHANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carline Cazeau, R.N
• Izel Celik Reed
• Melchior R. Ceme, D.C.
• Center for Community Health, Education & Research, Inc
• Jennifer Chan Feng
• Friceline Chelot, RN
• Wendey Cheung, RN
• Danielle Christian
• Rene Theresa Clark
• Randal W Cole, DMD

• Dentist in Mattapan, MA
• Providers in Mattapan, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.