DR. KEVIN CHUN HUI CHANG (NPI# 1861005662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861005662 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CHUN HUI CHANG |
| Credential | DDS |
| Practice Address |
1508 N Riverside Dr Espanola NM 87532-2064 |
| Mailing Address |
160 Morgan St Apt 509 Jersey City NJ 07302-6243 |
| Practice Telephone | 5057530544 |
| Mailing Telephone | 6177104387 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD5314 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518359298 | Kevin Y Chang | Student in an Organized Health Care Education/Training Program | 401 East River Parkway, Vcrc 1st Floor, Suite 131, Minneapolis, MN 55455 | 2015-03-04 |
| 1396931457 | Kevin Carlo Chang | Internal Medicine | 6290 Central Blvd Apt 308, Whitestown, IN 46075-4405 | 2007-09-21 |
| 1265568950 | Kevin Chang | Dentist | 1212 Coloma Way Ste C, Roseville, CA 95661-4646 | 2007-02-26 |
| 1194326694 | Kevin Chang | Physical Therapist | 3520 W University Dr Ste 201, Mckinney, TX 75071-2930 | 2020-11-03 |
| 1265040489 | Kevin Chang | Pharmacist | 475 E Windmill Ln, Las Vegas, NV 89123-1808 | 2020-07-14 |
| 1649814682 | Kevin Chang | Physical Therapist | 2455 S Braeswood Blvd, Houston, TX 77030-4305 | 2019-11-02 |
| 1770044174 | Kevin Wesley Chang | Family Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2019-03-27 |
| 1255859054 | Kevin Anthony Chang | Pharmacist | 10716 71st Ave, Forest Hills, NY 11375-4725 | 2017-09-01 |
| 1043744428 | Kevin Wei-lun Chang | Student in an Organized Health Care Education/Training Program | 22301 Foster Winter Dr, Southfield, MI 48075-3707 | 2017-04-12 |
| 1821448663 | Kevin Michael Chang | Emergency Medicine | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2016-06-13 |
| Street Address |
1508 N RIVERSIDE DR |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356634703 | Familia Dental Esp LLC | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2054 | 2011-05-18 |
| 1275172181 | Brent Lee Jorgensen | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2019-12-26 |
| 1235782566 | Muhammad Atif Khan | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2019-07-16 |
| 1780100065 | Sun Young Park | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2017-08-17 |
| 1811413594 | Chris Y. Kim | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2017-08-15 |
| 1841715992 | Suho Bae | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2017-08-10 |
| 1730632761 | Jaesung Seo | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2016-07-26 |
| 1285912048 | Sara Hakimzadeh | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2054 | 2011-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730608928 | Jayakumar Samuel | Dentist | 232 N Paseo De Onate, Espanola, NM 87532-2623 | 2017-09-19 |
| 1336554484 | Tess Simmons | Dentist | 704 La Joya St Ste A, Espanola, NM 87532-2599 | 2014-06-27 |
| 1992870927 | Laura L Hale | Dentist | 608 La Joya St Ste B, Espanola, NM 87532-3467 | 2006-11-22 |
| 1235782566 | Muhammad Atif Khan | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2019-07-16 |
| 1477111607 | Jeffrey Scott Harbaugh | Dentist | 608 La Joya St Ste B, Espanola, NM 87532-3467 | 2019-06-03 |
| 1730632761 | Jaesung Seo | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2016-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959934 | Comfortable Dentistry 4u - Cottonwood, LLC | Dentist | 3613 Nm 528 Nw Ste D, Albuquerque, NM 87114-8918 | 2020-10-15 |
| 1295347326 | Sandya Vanathi Athigaman | Dentist | 612 N Canyon St, Carlsbad, NM 88220-5842 | 2020-08-19 |
| 1932729506 | Brenda Concepcion Acosta | Dentist | Aegd-1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-23 |
| 1730712357 | Dental Technology Trainers LLC | Dentist | 3 Calle Del Arroyo, Placitas, NM 87043-9407 | 2020-02-21 |
| 1942833199 | Salud Dental Group Albuquerque | Dentist | 3803 Atrisco Dr Nw Ste D, Albuquerque, NM 87120-4958 | 2020-02-17 |
| 1669012241 | Lc Sleep Solutions LLC | Dentist | 2001 E Lohman Ave Ste 122, Las Cruces, NM 88001-3195 | 2020-01-10 |
| 1255987616 | Katelyn Noelle Bobbitt | Dentist | 950 Unser Blvd Se Ste 100, Rio Rancho, NM 87124-6376 | 2019-08-12 |
| 1336793892 | Lee Paige Affholter | Dentist | 6349 Us 550, Cuba, NM 87013 | 2019-08-01 |
| 1073167789 | Kathryn Susanne Wynne | Dentist | 5131 Main St Ste 101, Santa Fe, NM 87507-2682 | 2019-07-31 |
| 1033770953 | Chad Joseph Davis | Dentist | 3811 Cerrillos Rd Ste 104, Santa Fe, NM 87507-4149 | 2019-06-21 |
| 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.