DR. THEODORE K CHANG (NPI# 1871832774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871832774 |
| Entity Type | Individual |
| Full Name | DR. THEODORE K CHANG |
| Credential | D.D.S. |
| Practice Address |
749 Bloomfield Ave Ste D West Caldwell NJ 07006 |
| Mailing Address |
749 Bloomfield Ave Ste D West Caldwell NJ 07006-6717 |
| Practice Telephone | 6466734496 |
| Mailing Telephone | 6464849404 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
057487 | NY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02565000 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093101420 | Theodore Chang | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St, Ste. 510, Honolulu, HI 96813-2409 | 2015-04-13 |
| 1154617843 | Theodore Chang | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2011-06-22 |
| 1477503936 | Theodore T Chang | Urology | 319 S Manning Blvd, Suite 106, Albany, NY 12208-1742 | 2006-05-12 |
| Street Address |
749 BLOOMFIELD AVE STE D |
| City | WEST CALDWELL |
| State | NJ |
| Zip Code | 07006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699261347 | Blooming Family Dental | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006-6717 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| 1083104228 | A Plus Rehab LLC | Physical Medicine & Rehabilitation | 9 Bloomfield Ave, North Caldwell, NJ 07006 | 2018-05-14 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1750820452 | Caldwell University | Behavioral Analyst | 120 Bloombfield Avenue, Caldwell, NJ 07006 | 2017-02-15 |
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1598157638 | Lisa Santeramo | Behavioral Analyst | 309 Westville Avenue, West Caldwell, NJ 07006 | 2015-02-26 |
| 1801132535 | Booyoung Chung | Pharmacist | 560 Passiac Ave Cvs, West Caldwell, NJ 07006 | 2012-12-28 |
| 1750611802 | Christopher Jones, Dds, P.a. | Dentist | 1129 Bloomfield Avenue, West Caldwell, NJ 07006 | 2010-01-12 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| 1336314509 | Myrtle Herrin Manalo | General Practice | 39 East Greenbrook Road, North Caldwell, NJ 07006 | 2008-04-28 |
| Find all providers in zip 07006 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205231297 | Anthony Castellano | Dentist | 1088 Bloomfield Ave, West Caldwell, NJ 07006-7118 | 2014-11-03 |
| 1215102348 | Gordon Jerome Stenz | Dentist | 26 Grover Ln, West Caldwell, NJ 07006-7948 | 2008-04-29 |
| 1124221106 | Alfred P. Josephsen Jr. | Dentist | 31 Harrison Ave, West Caldwell, NJ 07006-8200 | 2007-06-07 |
| 1861511040 | Lorraine Nina Hindy | Dentist | 33 Clinton Rd Ste 205, West Caldwell, NJ 07006-6790 | 2007-03-28 |
| 1285793158 | Leo Wieder | Dentist | 671 Bloomfield Ave, West Caldwell, NJ 07006-7540 | 2006-12-07 |
| 1851311260 | Bernard M Kruger Dmd Pa | Dentist | 555 Passaic Ave, West Caldwell, NJ 07006-7475 | 2006-07-20 |
| 1699261347 | Blooming Family Dental | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006-6717 | 2018-07-05 |
| 1568896033 | Edward Sanossian | Dentist | 185 Fairfield Ave, Suite 4b, West Caldwell, NJ 07006-6426 | 2013-09-02 |
| 1356520456 | Donna Marie Carroccia | Dentist | 185 Fairfield Ave, Suite 1b, West Caldwell, NJ 07006 | 2007-10-25 |
| 1992923205 | Michael James Masella | Dentist | 195 Fairfield Ave, Suite 3a, West Caldwell, NJ 07006-6424 | 2007-04-23 |
| Find all providers in WEST CALDWELL | ||||
| City | WEST CALDWELL |
| Zip Code | 07006 |
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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.