DR. RANDY CHANG D.D.S.
NPI 1013913342
Dentist - General Practice in Waukegan, IL

Q: What is Randy Chang's NPI number?

The NPI number for Randy Chang is 1013913342. It was assigned to this individual provider in the NPPES registry on June 22, 2005. The provider is also known as Dr. Randolph Chang D.D.S..

Q: What is Randy Chang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Randy Chang was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2005PECOS Enrolled

916 N GREEN BAY RD, WAUKEGAN, IL 60085(847) 336-8200(847) 336-8203 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Randy Chang D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY CHANG D.D.S. (NPI 1013913342) is an individual general practice provider in Waukegan, Illinois, licensed in Illinois (019-025589) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013913342

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RANDY CHANGCredential: D.D.S.

Location Address916 N GREEN BAY RDWaukegan, IL 60085-2240

Mailing Address7300 N Western Ave, Ste JChicago, IL 60645-1833 · (773) 338-8433 · Fax (773) 338-8434

Phone(847) 336-8200

Fax(847) 336-8203

Sole ProprietorNo

Enumeration DateJune 22, 2005

Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration

✔ NPI 1013913342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in IL · 019-025589✔ Licensed in CA · 48587✔ Licensed in TN · DS7874

Definition

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.

916 N GREEN BAY RD, Waukegan, IL 60085

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Other Names 1

Other Name (5)Dr. Randolph Chang D.d.s.

Other Identifiers 4

Other73-1733714Fed Tax Id

Other019-025589IL · License #

OtherDS7874TN · License #

Other48587CA · License #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randy Chang D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWEST FAMILY DENTAL, LLC

Dentist

916 N GREEN BAY RD
WAUKEGAN, IL 60085

Lake County (773) 267-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Chang's NPI number?

The NPI number for Randy Chang is 1013913342. It was assigned to this individual provider in the NPPES registry on June 22, 2005. The provider is also known as Dr. Randolph Chang D.D.S..

Where is Randy Chang located?

Randy Chang practices at 916 N Green Bay Rd, Waukegan, IL 60085. The listed phone number is (847) 336-8200.

What is Randy Chang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randy Chang enrolled in Medicare?

Yes. Randy Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Chang was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.