PENASQUITOS POINT FAMILY DENTRISTRY
NPI 1306953690
Dentist in San Diego, CA

Active since August 24, 2006
12798 RANCH PENASQUITOS BLVD, SUITE I, SAN DIEGO, CA 92129(858) 484-9776(858) 484-0721 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Penasquitos Point Family Dentristry NPPES

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

PENASQUITOS POINT FAMILY DENTRISTRY (NPI 1306953690) is a healthcare organization registered as a dentist in San Diego, California and active in the NPI registry since August 2006. The organization lists Jim S Chang, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306953690
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJIM S CHANG DDS INC
Location Address12798 RANCH PENASQUITOS BLVD, SUITE ISan Diego, CA 92129
Mailing Address12798 Ranch Penasquitos Blvd, Suite ISan Diego, CA 92129 · (858) 484-9776 · Fax (858) 484-0721
Fax(858) 484-0721
Organization SubpartNo
Authorized OfficialJim S ChangCeo · (858) 484-9776
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1306953690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 34942
Definition
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.
12798 RANCH PENASQUITOS BLVD, San Diego, CA 92129

Other Names 1

Doing Business AsPenasquitos Point Family Dentristry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 S Chang Dds Inc's NPI number?

The NPI number for Jim S Chang Dds Inc is 1306953690. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Penasquitos Point Family Dentristry.

Where is Jim S Chang Dds Inc located?

Jim S Chang Dds Inc is located at 12798 Ranch Penasquitos Blvd Suite I, San Diego, CA 92129. The listed phone number is (858) 484-9776.

What is Jim S Chang Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jim S Chang Dds Inc accept?

Health plans from UnitedHealthcare list Jim S Chang Dds Inc 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 S Chang Dds Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.