DR. JEEMIN CHANG DMD
NPI 1114418571
Dentist - Pediatric Dentistry in Bronx, NY

Active since May 22, 2018
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453(413) 736-0027 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2021, Dec 13, 2020, May 22, 2018 (3 updates tracked since 2018).

About Dr. Jeemin Chang Dmd NPPES

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

DR. JEEMIN CHANG DMD (NPI 1114418571) is an individual pediatric dentistry provider in Bronx, New York, licensed in Virginia (0401418071) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1114418571
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JEEMIN CHANGCredential: DMD
Location Address1775 GRAND CONCOURSE FL 6Bronx, NY 10453-8202
Mailing Address5500 Columbia Pike Ste AArlington, VA 22204-5867 · (703) 671-5437
Sole ProprietorNo
Enumeration DateMay 22, 2018
Last NPPES UpdateFebruary 14, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
NPI 1114418571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in VA · 0401418071 Licensed in CT · 13068
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License DN1857923 (MA)
1775 GRAND CONCOURSE FL 6, Bronx, NY 10453

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Dentist (General Practice)
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Physical Therapist
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453

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 Jeemin Chang's NPI number?

The NPI number for Jeemin Chang is 1114418571. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Jeemin Chang located?

Jeemin Chang practices at 1775 Grand Concourse Fl 6, Bronx, NY 10453. The listed phone number is (413) 736-0027.

What is Jeemin Chang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jeemin Chang accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jeemin 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 Jeemin Chang was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.