DR. MERVYN CHARLES CHANG


Address: 2211 Moorpark Ave, #100, San Jose, CA 95128-2654
Phone: 4082985959

DR. MERVYN CHARLES CHANG (NPI# 1275552374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275552374
Entity Type Individual
Full Name DR. MERVYN CHARLES CHANG
Credential DDS
Practice Address 2211 Moorpark Ave
#100
San Jose
CA 95128-2654
Practice Telephone 4082985959
Practice Fax Number 4082986303
Mailing Telephone 4082985959
Mailing Fax Number 4082986303
Enumeration Date 2006-07-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
18800 CA Dental Providers

Office Location

Street Address 2211 MOORPARK AVE
#100
City SAN JOSE
State CA
Zip Code 95128-2654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841283850 Center for Independent Rehabilitative Services, Inc. Prosthetic/Orthotic Supplier 2211 Moorpark Ave, Ste. 230, San Jose, CA 95128-2654 2005-08-24
1306291414 Wellness Chiropractic Center Clinic/Center 2211 Moorpark Ave, Suite 280, San Jose, CA 95128-2654 2016-04-26
1265812309 Ki Tae Kim Chiropractic Inc. Clinic/Center 2211 Moorpark Ave, Suite 280, San Jose, CA 95128-2654 2015-06-04
1326432402 Sewon Kim Acupuncturist 2211 Moorpark Ave, Suite 250, San Jose, CA 95128-2654 2015-03-26
1164780086 Desiree Mehrabian Registered Nurse 2211 Moorpark Ave, Suite 218, San Jose, CA 95128-2654 2012-04-28
1548527310 Ruth Anne Mitchell Registered Nurse 2211 Moorpark Ave, Suite 218, San Jose, CA 95128-2654 2012-04-18
1275899486 Victor Cheng Acupuncturist 2211 Moorpark Ave, Suite 250, San Jose, CA 95128-2654 2012-04-02
1184904518 Medpixels Medical Services, PC Clinic/Center 2211 Moorpark Ave, Suite 290, San Jose, CA 95128-2663 2011-08-17
1588985139 Kelley C Kim Dietitian, Registered 2211 Moorpark Ave, Suite 218, San Jose, CA 95128-2654 2010-06-17
1912224221 Ron Rosen, M.d., Inc Interpreter 2211 Moorpark Ave, Suite 220, San Jose, CA 95128-2654 2010-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
Find all providers in zip 95128

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023623865 Nguyen and Tran Dental Corporation Dentist 6130 Hellyer Avenue, San Jose, CA 95138 2020-09-09
1699307835 Simranpreet Kaur Dentist 3323 Arqueado Dr, San Jose, CA 95148-2106 2020-02-05
1629616479 Colin S. Ilas D.d.s. Dentist 1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572 2019-12-11
1376197848 Mariam Samir Abadir Dentist 1670 Westwood Dr. Suite K, San Jose, CA 95125 2019-08-01
1427601400 Parisa Radi Dentist 7318 Glenview Dr, San Jose, CA 95120-5806 2019-07-19
1346802469 Trammie Bui D.d.s., Inc Dentist 228 N Jackson Ave Ste 50, San Jose, CA 95116-1602 2019-06-29
1922669597 Tracy Filler, Dmd, Inc. Dentist 1569 Lexann Drive, Suite 202, San Jose, CA 95121 2019-06-25
1508346818 Lai and Wu Dental Corp Dentist 670 River Oaks Pkwy Ste J, San Jose, CA 95134-1988 2018-08-16
1477039998 Jae Hyuk Yun Dentist 651 Eden Ave, San Jose, CA 95117-2209 2018-07-18
1699260935 Rodolfo Hernandez Morales Dentist 171 George St, San Jose, CA 95110-2118 2018-06-28
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95128

Improve Information

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Dataset Information

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.

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