Ecsile Chang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

122922 Issued in AK

Practice address

421 3Rd St
Fairbanks, AK 99701-3506

Phone

(907) 456-1237

NPI assigned

Jun 19, 2017

Last updated

Jun 19, 2017By the provider in NPPES

Sex

Female

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

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

• Chang Family Dental

  • General Practice Dentistry
  • Fairbanks, AK
  • NPI 1770129538
  NPD (past) Authorized official
• Michael J. Helmbrecht, D.D.S., P.C.

  • Dentist
  • Fairbanks, AK
  • NPI 1427265917
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1932639218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 BENTLEY DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013462",
            "telephone_number": "907-978-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 3RD ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013506",
            "telephone_number": "907-456-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ECSILE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "122922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violeta Cervantes Vazquez
• Michael Chadwick, MS
• Larry Chalcraft II
• Roberta Champlin
• Chang Family Dental
• Emery J Chang, MD
• Katherine Chang
• Young Chang
• Janelle Chapin
• Donald Esau Charlie, CDC II,BHA II

• General Practice Dentistry in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.