BRIAN CHANG (NPI# 1922588664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922588664 |
| Entity Type | Individual |
| Full Name | BRIAN CHANG |
| Credential | DDS |
| Practice Address |
4516 S Damen Ave Chicago IL 60609-3013 |
| Mailing Address |
350 N Clark St Fl 6 Chicago IL 60654-4712 |
| Practice Telephone | 7738690200 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.031848 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538544432 | Brian Chang | Pharmacist | 3110 Mount Vernon Ave, Apt 312, Alexandria, VA 22305-2664 | 2015-07-21 |
| 1982925715 | Brian Chang | Internal Medicine | 8545 W Warm Springs Rd, A-4 #210, Las Vegas, NV 89113 | 2010-06-16 |
| 1801029400 | Brian Chang | Acupuncturist | 36-42 Newark St Ste 203, Hoboken, NJ 07030-5655 | 2009-08-29 |
| 1457337982 | Brian Byung Chang | Dentist | 1503 Dodona Ter Ste 105, Leesburg, VA 20175-4723 | 2005-12-16 |
| 1770119752 | Brian Chang | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2020-03-21 |
| 1659878510 | Brian Chang | Student in an Organized Health Care Education/Training Program | 630 W 168th St, New York, NY 10032-3725 | 2018-04-09 |
| 1063918902 | Brian Lee Chang | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2018-03-31 |
| 1659803021 | Brian Gisu Chang | Student in an Organized Health Care Education/Training Program | 121 Dekalb Ave, House Staff Administration, Brooklyn, NY 11201-5425 | 2017-04-03 |
| 1588118194 | Brian Chang | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-08-11 |
| 1518315407 | Brian Chang | Dentist | 46 N Saginaw St, Pontiac, MI 48342-2155 | 2016-06-01 |
| Street Address |
4516 S DAMEN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60609-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629249610 | Studio Dental, LLC | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2008-03-18 |
| 1043703317 | Asima Chughtai | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2018-06-12 |
| 1760902878 | Alexander David Einbinder | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2017-06-21 |
| 1003354911 | Pinkesh Shah | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2017-02-11 |
| 1003266958 | Francesca Jessica Gattuso | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2016-06-21 |
| 1144605981 | Tiffany Chen | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2015-07-22 |
| 1780090043 | Aita Koopahi | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2014-07-08 |
| 1760816557 | Jeremy Winter | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2013-08-28 |
| 1518228667 | David Bumsang Choi | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2012-06-05 |
| 1457647539 | Jay Adam Dehart | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1306407721 | Athletico Ltd | Physical Therapist | 5336 S State St, Chicago, IL 60609 | 2019-06-26 |
| 1396157939 | Unlimited Resources | Private Vehicle | 8104 S. Kingston, Chicago, IL 60609 | 2014-06-02 |
| 1013215474 | Giles B. Mizock M.d. Ltd. | Obstetrics & Gynecology | 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 | 2011-03-09 |
| 1164691630 | Alfreda D Beard | Dentist | 5050 So State, Chicago, IL 60609 | 2008-02-28 |
| 1588876510 | Victor P Gutierrez | Chiropractor | 1824 W. 47th St., Chicago, IL 60609 | 2007-05-03 |
| 1619092558 | Highlander Care Center, LLC | Skilled Nursing Facility | 4815 S Western Ave, Chicago, IL 60609 | 2007-03-20 |
| 1437295482 | Rolando A Lara | Internal Medicine | 1708 W 47th St, Chicago, IL 60609 | 2007-01-29 |
| 1497765168 | Judith H Mcdevitt | Nurse Practitioner | 734 W. 47th Street, Ihc South, Chicago, IL 60609 | 2006-08-08 |
| 1790795474 | Lorrita Marie Verhey | Nurse Practitioner | 734 W. 47th Street South, Ihc, Chicago, IL 60609 | 2006-08-08 |
| Find all providers in zip 60609 | ||||
| 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 |
|---|---|---|---|---|
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
| 1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
| 1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
| 1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
| 1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
| 1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
| 1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
| Find all providers in CHICAGO | ||||
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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.