DR. PE CHANG (NPI# 1093813354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093813354 |
| Entity Type | Individual |
| Full Name | DR. PE CHANG |
| Other Name | DR. PE CHANG |
| Credential | D.D.S. |
| Practice Address |
7111 Prospect Pl Ne Suite B Albuquerque NM 87110-4309 |
| Mailing Address |
6800 Vista Del Norte Rd Ne Unit #1526 Albuquerque NM 87113-1311 |
| Practice Telephone | 5058885131 |
| Practice Fax Number | 5058885135 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD2344 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | UNITED CONCORDIA | 1505220 | 01 |
| NM | 55120725 | 05 | |
| NM | 0018016 | 05 |
| Street Address |
7111 PROSPECT PL NE SUITE B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740265255 | John William Boutz | Dentist | 7111 Prospect Pl Ne, Suite C, Albuquerque, NM 87110-4309 | 2005-12-07 |
| 1629356209 | Omni Dental, LLC | Dentist | 7111 Prospect Pl Ne, Suite B, Albuquerque, NM 87110-4309 | 2011-07-29 |
| 1245492933 | Ryan S Shepherd | Dentist | 7111 Prospect Pl Ne, Suite D, Albuquerque, NM 87110-4309 | 2008-06-25 |
| 1912194994 | Ben J Brabb | Dentist | 7111 Prospect Pl Ne, Suite D-301, Albuquerque, NM 87110 | 2007-10-03 |
| 1548485196 | Terry Riordan | Dentist | 7111 Prospect Pl Ne, Suite B, Albuquerque, NM 87110-4309 | 2007-04-16 |
| 1396865267 | New Mexico Center for Craniofacial Pain,llc | Dentist | 7111 Prospect Pl Ne, Suite D-301, Albuquerque, NM 87110-4309 | 2007-04-02 |
| 1497888234 | Jean-claude E. Wilcox | Dentist | 7111 Prospect Pl Ne, Suite D201, Albuquerque, NM 87110-4309 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959934 | Comfortable Dentistry 4u - Cottonwood, LLC | Dentist | 3613 Nm 528 Nw Ste D, Albuquerque, NM 87114-8918 | 2020-10-15 |
| 1932729506 | Brenda Concepcion Acosta | Dentist | Aegd-1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-23 |
| 1942833199 | Salud Dental Group Albuquerque | Dentist | 3803 Atrisco Dr Nw Ste D, Albuquerque, NM 87120-4958 | 2020-02-17 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1679050942 | Comfortable Dentistry 4u LLC | Dentist | 9204 Menaul Blvd Ne Ste 3, Albuquerque, NM 87112-2201 | 2018-07-19 |
| 1649756206 | Brandon Wade Terhune | Dentist | 7520 Montgomery Blvd Ne Bldg E12, Albuquerque, NM 87109-1586 | 2018-07-17 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1669967063 | Gabriele E Mccomas | Dentist | 5000 Menaul Boulevard, Suite B, Albuquerque, NM 87110-3046 | 2018-06-27 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1154838266 | Dr Barney W Carter Dmd PC | Dentist | 3900 Eubank Blvd Ne Ste 19, Albuquerque, NM 87111-3427 | 2018-01-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on DR. PE CHANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.