DR. ELBERT CHANG (NPI# 1629285804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629285804 |
| Entity Type | Individual |
| Full Name | DR. ELBERT CHANG |
| Credential | DDS, MS |
| Practice Address |
5830 Hubbard Dr Rockville MD 20852-4818 |
| Mailing Address |
Po Box 2341 Rockville MD 20847-2341 |
| Practice Telephone | 3018814867 |
| Practice Fax Number | 3018817753 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 21858 | OH | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
13725 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780900142 | Elbert Chang | Anesthesiology | 314 Martin Luther King Jr Way Ste 300, Tacoma, WA 98405-4292 | 2010-04-10 |
| 1215460712 | Elbert Chang | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2017-04-11 |
| 1053417808 | Elbert Kc Chang | Internal Medicine | 9655 Monte Vista Ave, #402, Montclair, CA 91763-2238 | 2006-09-16 |
| Street Address |
5830 HUBBARD DR |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306164934 | Richard Paul Singer | Dentist | 11300 Rockville Pike Ste 1210, Rockville, MD 20852-3040 | 2010-05-06 |
| 1932305422 | Judith Lorraine Austin | Dentist | 11400 Rockville Pike Ste 510, Rockville, MD 20852-3041 | 2007-06-22 |
| 1629170212 | Steven N Rice | Dentist | 1801 Rockville Pike, Suite #101, Rockville, MD 20852-1633 | 2006-09-02 |
| 1851606404 | Care Soft Dental, LLC | Dentist | 15204 Omega Dr, Suite 140, Rockville, MD 20850-4601 | 2010-08-06 |
| 1437215514 | William Keith Brayer | Dentist | 15200 Shady Grove Rd, Suite 440, Rockville, MD 20850-3218 | 2006-12-31 |
| 1801983077 | Sanford Alan Barber | Dentist | 4701 Randolph Road, Suite 104, Rockville, MD 20852-2260 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702133 | Hirschel Wohl | Dentist | 2021b Emmorton Rd Ste 118, Bel Air, MD 21015-8958 | 2020-08-26 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1508386772 | David A Mugford Dmd Pa | Dentist | 1660 Village Grn # 104, Crofton, MD 21114-2033 | 2017-06-20 |
| 1407396369 | Gonzalo Blasi | Dentist | 305 W Fayette St Apt 1412, Baltimore, MD 21201-3466 | 2017-02-26 |
| 1790149052 | Kevin George Murphy | Dentist | 6080 Falls Rd #202, Baltimore, MD 21209-2498 | 2016-04-12 |
| 1124410741 | Andres Jimenez Wolf | Dentist | 13975 Connecticut Ave Ste 311, Silver Spring, MD 20906-2921 | 2015-02-19 |
| 1558610444 | Mary Gray Lee | Dentist | 6080 Falls Road, Suite 202, Baltimore, MD 21209 | 2012-09-06 |
| 1063760486 | Rei Sekiguchi | Dentist | 9000 Rockville Pike Bldg 30, Bethesda, MD 20892-4370 | 2012-08-15 |
| 1811244627 | Kim-thi Van-dinh | Dentist | 3801 Canterbury Rd, Unit 407, Baltimore, MD 21218-2370 | 2012-08-10 |
| 1770858730 | Hyung Jin Bae | Dentist | 16069 Comprint Cir, Gaithersburg, MD 20877-1321 | 2012-03-09 |
| Find all providers with the same taxonomy | ||||
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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.