DR. HEERA CHANG (NPI# 1831256072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831256072 |
| Entity Type | Individual |
| Full Name | DR. HEERA CHANG |
| Credential | M.D., DDS |
| Practice Address |
1700 Lanakila Ave 203 Honolulu HI 96817-2115 |
| Mailing Address |
335 Hahani St # 1635 Kailua HI 96734-7400 |
| Practice Telephone | 8088325710 |
| Practice Fax Number | 8088325674 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN1855289 | MA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
CSDT-80 | HI | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 17632 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1700 LANAKILA AVE 203 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379311 | Patrick John Kong Chang | Dentist | 1700 Lanakila Ave, 203, Honolulu, HI 96817-2115 | 2005-07-07 |
| 1316429681 | Frank Lee | Registered Nurse | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2018-09-04 |
| 1326410556 | Brenda L.c. Bauer-smith | Psychologist | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2015-10-27 |
| 1154704864 | Madoka Moroe | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2015-06-30 |
| 1306264080 | Michele Brooks | Registered Nurse | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2014-03-31 |
| 1073931754 | Trina Wright | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2014-03-31 |
| 1851726822 | Andrew Tseu | Dentist | 1700 Lanakila Ave, Rm. 203, Honolulu, HI 96817-2115 | 2013-09-10 |
| 1467890095 | Kalihi-palama Health Center | Clinic/Center | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2013-06-05 |
| 1790057867 | Dolly Tatofi | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2012-02-03 |
| 1861760472 | Don D Pedro | Psychologist | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2011-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841461746 | Stinson Edward Humphrey | Oral & Maxillofacial Surgery | 62-3590 Emoloa Way, Kamuela, HI 96743-8741 | 2008-03-18 |
| 1316908296 | Michael Ellsworth Clarke | Oral & Maxillofacial Surgery | 24 N Church St, #206, Wailuku, HI 96795 | 2006-03-30 |
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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.