DR. SU-WEN CHANG D.D.S.
NPI 1073722831
Dentist - General Practice in Tucson, AZ

Active since May 21, 2007PECOS Enrolled
5340 E BROADWAY BLVD STE 150, TUCSON, AZ 85711(520) 748-8186(520) 514-7518 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Su-wen Chang D.d.s. NPPES

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

DR. SU-WEN CHANG D.D.S. (NPI 1073722831) is an individual general practice provider in Tucson, Arizona, licensed in Arizona (5807) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Herman Ostrow School Of Dentistry Of Usc (2002).

NPPES Registry Identity

NPI1073722831
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SU-WEN CHANGCredential: D.D.S.
Location Address5340 E BROADWAY BLVD STE 150Tucson, AZ 85711-3714
Mailing Address5340 E Broadway Blvd Ste 150Tucson, AZ 85711-3714 · (520) 748-8186 · Fax (520) 514-7518
Fax(520) 514-7518
Sole ProprietorNo
Medical School CMSHerman Ostrow School Of Dentistry Of UscGraduated 2002
Enumeration DateMay 21, 2007
Last NPPES UpdateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
✔ NPI 1073722831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 5807
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.
5340 E BROADWAY BLVD STE 150, Tucson, AZ 85711

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7113437948
PECOS Enrollment IDI20250610002820
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.

Medicare Billing Reassignment

Medicare enrollment records show Su-wen Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral and Maxillofacial Surgery
4781 E CAMP LOWELL DR STE 101
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Su-wen Chang's NPI number?

The NPI number for Su-wen Chang is 1073722831. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Su-wen Chang located?

Su-wen Chang practices at 5340 E Broadway Blvd Ste 150, Tucson, AZ 85711. The listed phone number is (520) 748-8186.

What is Su-wen Chang's specialty?

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

Is Su-wen Chang enrolled in Medicare?

Yes. Su-wen Chang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Su-wen Chang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Su-wen Chang reassigns Medicare benefits to Stephen J Harkins DDS PC (Tucson, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Su-wen Chang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Su-wen Chang accept?

Health plans from BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Su-wen Chang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Su-wen Chang was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.