DR. LISA CHANG (NPI# 1811379019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811379019 |
| Entity Type | Individual |
| Full Name | DR. LISA CHANG |
| Credential | D.D.S. |
| Practice Address |
3557 Union Rd Buffalo NY 14225-5123 |
| Mailing Address |
3500 Sheridan Dr # 1548 Buffalo NY 14226-1548 |
| Practice Telephone | 7166510099 |
| Mailing Telephone | 7166555000 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 058763-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04575077 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760744254 | Lisa S Chang | Physician Assistant | 10307 Hinderhill Dr, Bakersfield, CA 93312-7035 | 2012-06-12 |
| 1437314218 | Lisa Chang | Obstetrics & Gynecology | 401 N Garfield Ave Ste 203, Monterey Park, CA 91754-1201 | 2008-07-22 |
| 1407457518 | Lisa Chang | Pharmacist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-11-04 |
| 1043580541 | Lisa I Chang | Pharmacist | 3220 Spring Forest Rd, Raleigh, NC 27616-2822 | 2011-12-31 |
| 1164743308 | Lisa Chang | Family Medicine | 4101 30th Ave, Astoria, NY 11103-2908 | 2010-06-22 |
| 1023334489 | Lisa Ku Chang | Dentist | 4409 Ming Ave, Bakersfield, CA 93309-4817 | 2010-04-10 |
| 1962605907 | Lisa F Chang | Ophthalmology | 2338 Almond Ave, Concord, CA 94520-2026 | 2007-06-07 |
| 1801898333 | Lisa Chang | Pediatrics | 1919 S Braeswood Blvd, 5th Floor, Houston, TX 77030-4412 | 2005-08-15 |
| Street Address |
3557 UNION RD |
| City | BUFFALO |
| State | NY |
| Zip Code | 14225-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346738564 | Jisung Park | Dentist | 3557 Union Rd, Buffalo, NY 14225-5123 | 2018-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
| 1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
| 1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
| 1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
| 1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| Find all providers in zip 14225 | ||||
| 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 |
|---|---|---|---|---|
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1225532831 | Japneet K. Verma | Dentist | Roswell Park Institute Elm & Carlton Streets, Buffalo, NY 14263-0001 | 2018-03-19 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1275995102 | Bryan St. Marie | Dentist | 3435 Main St #32, Buffalo, NY 14214 | 2016-03-21 |
| 1821439704 | Luke-hieu Quang Nguyen | Dentist | 576 Dorrance Ave, Buffalo, NY 14218-1905 | 2013-07-09 |
| 1912276809 | Buffalo Prairie Dental | Dentist | 1006 S. Ash, Buffalo, MO 65622-0707 | 2011-12-21 |
| 1083993216 | Matthew Rick Raney | Dentist | 1001 Eagle View Drive, Buffalo, WY 82834 | 2011-08-05 |
| 1871807941 | Jessica J Blakely | Dentist | 2746 Main St, Buffalo, NY 14214-1702 | 2010-08-01 |
| 1235456161 | Peter R Lynch | Dentist | 1000 Highway 25 S, Buffalo, MN 55313-4325 | 2010-05-03 |
| 1922320274 | Ronald Francis Zielin | Dentist | 215 Squire Hall, Buffalo, NY 14214-8006 | 2010-02-26 |
| Find all providers in BUFFALO | ||||
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| 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.