JASON WAYNE CHANG (NPI# 1194986711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194986711 |
| Entity Type | Individual |
| Full Name | JASON WAYNE CHANG |
| Credential | DDS |
| Practice Address |
701 Shedeck Pkwy Yukon OK 73099-6021 |
| Practice Telephone | 4053501133 |
| Practice Fax Number | 4053501133 |
| Mailing Telephone | 4053501133 |
| Mailing Fax Number | 4053501133 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2012-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6023 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457252 | Jason Chang | Behavior Technician | 3 Boothby Cir, Randolph, MA 02368-5312 | 2020-11-06 |
| 1144313297 | Jason H Chang | Dentist | 1101 Avenue D, C104, Snohomish, WA 98290-2083 | 2006-10-02 |
| 1457811853 | Jason Yu-shen Chang | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810-6099 | 2019-03-21 |
| 1326507641 | Jason Lin Chang | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2019-03-16 |
| 1780190066 | Jason Chang | Nurse Practitioner | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2017-12-21 |
| 1578822441 | Jason Chang | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2012-05-11 |
| 1538472196 | Jason C Chang | Pathology | 1275 York Ave Dept Of, New York, NY 10065 | 2010-07-23 |
| 1124284708 | Jason Victor Chang | Psychiatry & Neurology | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2008-08-02 |
| 1215198056 | Jason Jinwoo Chang | Psychiatry & Neurology | 110 Irving St Nw, Suite 4b42, Washington, DC 20010-3017 | 2008-06-24 |
| 1457534687 | Jason Sungkwon Chang | Emergency Medicine | 3600 Forbes Ave, Forbes Tower On Meyran Ave, Suite 10028, Pittsburgh, PA 15213-3410 | 2007-12-11 |
| Street Address |
701 SHEDECK PKWY |
| City | YUKON |
| State | OK |
| Zip Code | 73099-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316469653 | Katelyn Michelle Blanchard | Dentist | 701 Shedeck Pkwy, Yukon, OK 73099-6021 | 2017-07-07 |
| 1568885432 | Dental Depot Orthodontics Yukon Pllc | Dentist | 701 Shedeck Pkwy, Yukon, OK 73099-6021 | 2014-01-29 |
| 1306001854 | Ryan Boles | Dentist | 701 Shedeck Pkwy, Yukon, OK 73099-6021 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| 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 |
|---|---|---|---|---|
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1316432040 | Affordable Dentistry Pllc | Dentist | 700 S Mustang Rd, Yukon, OK 73099-6777 | 2018-06-25 |
| 1891286092 | Brandon Michael Onley | Dentist | 11117 Surrey Hills Blvd, Yukon, OK 73099-8155 | 2018-05-23 |
| 1609380005 | Summer Dental Yukon, Pllc | Dentist | 12444 Nw 10th St., Bldg H, Ste 107, Yukon, OK 73099 | 2017-11-21 |
| 1104354950 | An Mai | Dentist | 1010 Garth Brooks Blvd Ste 120, Yukon, OK 73099 | 2017-05-24 |
| 1023325198 | Benton J Perry | Dentist | 1600 Garth Brooks Blvd Ste 150, Yukon, OK 73099-7412 | 2010-09-09 |
| 1205002243 | Rick L. Willingham, D.d.s., P.C. | Dentist | 1700 Professional Cir, Yukon, OK 73099-6470 | 2008-04-30 |
| 1689861346 | Grant D Pitt | Dentist | 701 Shedeck Parkway, Yukon, OK 73099 | 2007-09-26 |
| 1851427371 | Patrick Jason Dukes | Dentist | 854 Garth Brooks Blvd, Yukon, OK 73099-3806 | 2007-02-26 |
| 1376693267 | David Deason | Dentist | 415 E Main St Ste 4, Yukon, OK 73099-2259 | 2007-01-11 |
| Find all providers in YUKON | ||||
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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.