SUSAN CHANG (NPI# 1205123346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205123346 |
| Entity Type | Individual |
| Full Name | SUSAN CHANG |
| Credential | D.D.S |
| Practice Address |
10401 Old Georgetown Rd 405 Bethesda MD 20814-1911 |
| Mailing Address |
10401 Old Georgetown Rd # 405 Bethesda MD 20814-1911 |
| Practice Telephone | 3015305909 |
| Mailing Telephone | 3015305909 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14999 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437203213 | Susan Chang | Dentist | 7380 Clairemont Mesa Blvd, Suite 100, San Diego, CA 92111-1115 | 2007-01-22 |
| 1871067181 | Susan Chang | Pharmacist | 603 S Lake Ave, Pasadena, CA 91106-3915 | 2019-01-20 |
| 1780103028 | Susan Chang | Pharmacist | 2600 N American St, Philadelphia, PA 19133-3413 | 2017-09-19 |
| 1396271821 | Susan Chang | Social Worker | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2017-05-03 |
| 1841733755 | Susan Chang | Pharmacist | 27200 Iris Ave, Moreno Valley, CA 92555-4803 | 2016-11-24 |
| 1356696017 | Susan S Chang | Pharmacist | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2012-07-18 |
| 1891018271 | Susan S Chang | Physical Therapist | 1400 York Ave, 1st Floor, New York, NY 10021-3443 | 2010-03-12 |
| 1699903955 | Susan S M Chang | Pediatrics | 3901 Rainbow Blvd, M/s 4004, Kansas City, KS 66103-2937 | 2009-06-25 |
| 1699942763 | Susan Elizabeth Chang | Internal Medicine | 75 Francis St, Bwh Hospitalist Service - Pbb-b4-428, Boston, MA 02115-6110 | 2008-05-08 |
| 1487846705 | Susan S Chang | Surgery | 915 Old Fern Hill Rd, Bldg B, Suite 201, West Chester, PA 19380-4269 | 2007-08-10 |
| Street Address |
10401 OLD GEORGETOWN RD 405 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496846 | Madalene K Greene | Internal Medicine | 10401 Old Georgetown Rd, Ste 305, Bethesda, MD 20814-1911 | 2005-06-08 |
| 1215488713 | Simplyslim Medical LLC | Internal Medicine | 10401 Old Georgetown Rd, Ste 408, Bethesda, MD 20814-1911 | 2016-10-19 |
| 1720441793 | Meredith Branson | Psychologist | 10401 Old Georgetown Rd, Suite 409, Bethesda, MD 20814-1911 | 2016-03-29 |
| 1043677552 | Thomas Orlando | Dentist | 10401 Old Georgetown Rd, 403, Bethesda, MD 20814-1911 | 2016-01-28 |
| 1881051951 | Growth and Wellness Pediatrics, LLC | Pediatrics | 10401 Old Georgetown Rd, Suite 304, Bethesda, MD 20814-1911 | 2016-01-20 |
| 1952649584 | Sheryl Simpson | Pharmacist | 10401 Old Georgetown Rd, Suite 205, Bethesda, MD 20814-1911 | 2013-01-16 |
| 1831485291 | Marie Elizabeth Belgrave | Genetic Counselor, MS | 10401 Old Georgetown Rd, Suite 307, Bethesda, MD 20814-1911 | 2011-06-23 |
| 1861785750 | Sylvan S Mintz,dds | Dentist | 10401 Old Georgetown Rd, Suite 106, Bethesda, MD 20814-1911 | 2011-05-25 |
| 1902103401 | Susan Coleman Egan | Social Worker | 10401 Old Georgetown Rd, #105, Bethesda, MD 20814-1911 | 2011-02-17 |
| 1801192638 | Maryland Oral Surgery Associates of Bethesda, LLC | Dentist | 10401 Old Georgetown Rd, Suite 206, Bethesda, MD 20814-1911 | 2011-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| 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 |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1518516194 | Drake Winslow Williams | Dentist | 10 Center Dr Rm 1b01, Bethesda, MD 20892-0001 | 2019-09-06 |
| 1003388612 | Marie Kao-hsieh | Dentist | 10 Center Dr Room 1n117a, Bethesda, MD 20892-0001 | 2018-12-20 |
| 1689160921 | Peter Joung Hoon Lee | Dentist | 8901 Wisconsin Ave Fl 2, Bethesda, MD 20889-0004 | 2018-07-10 |
| 1942619457 | Pamela Gardner | Dentist | Nih Nidcr Dental Clinic, 10 Center Drive, 10/1n117, Bethesda, MD 20892-0001 | 2014-08-08 |
| 1164843785 | Jonathan A Morris Dds, PC | Dentist | 8218 Wisconsin Ave Ste 404, Bethesda, MD 20814-3107 | 2013-12-27 |
| 1427480151 | William Sidney Blackmore | Dentist | 9222 E Parkhill Dr, Bethesda, MD 20814-3949 | 2013-08-05 |
| 1538509393 | Christopher Joseph Puglisi | Dentist | 2 Ardmore Ct, Bethesda, MD 20816-2015 | 2013-06-26 |
| 1578844965 | Michael Bradford Harper | Dentist | Walter Reed Natl Military Ctr, Bldg # 17 Room # 3140, Bethesda, MD 20889-5600 | 2011-08-30 |
| 1669760195 | Divine Smiles Dentistry | Dentist | 8001 Wisconsin Ave, Suite 103, Bethesda, MD 20814-3602 | 2011-07-19 |
| Find all providers in BETHESDA | ||||
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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.