JIM S CHANG DDS
NPI 1184034746
Dentist - General Practice in San Diego, CA

Q: What is Jim Chang's NPI number?

The NPI number for Jim Chang is 1184034746. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Q: What is Jim 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 Jim Chang was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 05, 2014

12798 RANCHO PENASQUITOS BLVD # 1, SAN DIEGO, CA 92129(858) 484-9776(858) 484-0721 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jim S Chang Dds NPPES

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

JIM S CHANG DDS (NPI 1184034746) is an individual general practice provider in San Diego, California, licensed in California (34942) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1184034746

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJIM S CHANGCredential: DDS

Location Address12798 RANCHO PENASQUITOS BLVD # 1San Diego, CA 92129

Mailing Address12798 Rancho Penasquitos Blvd # 1San Diego, CA 92129 · (858) 484-9776 · Fax (858) 484-0721

Phone(858) 484-9776

Fax(858) 484-0721

Sole ProprietorYes

Enumeration DateMay 5, 2014

✔ NPI 1184034746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 34942

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.

12798 RANCHO PENASQUITOS BLVD # 1, San Diego, CA 92129

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Jim Chang's NPI number?

The NPI number for Jim Chang is 1184034746. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Jim Chang located?

Jim Chang practices at 12798 Rancho Penasquitos Blvd # 1, San Diego, CA 92129. The listed phone number is (858) 484-9776.

What is Jim Chang's specialty?

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

What insurance does Jim 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 5 other insurers list Jim 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 Jim Chang was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.