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PAN CHANG DDS
NPI 1407214844
Student in an Organized Health Care Education/Training Program in Waco, TX

Active since January 30, 2016

NPPES record last updated: January 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pan Chang Dds NPPES

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

PAN CHANG DDS (NPI 1407214844) is an individual student in an organized health care education/training program in Waco, Texas and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1407214844
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePAN CHANGCredential: DDS
Location Address609 ELM STWaco, TX 76704-2516
Mailing Address700 S 4th St Apt 706Waco, TX 76706-1072 · (909) 348-4798
Phone(254) 714-0156
Sole ProprietorYes
Enumeration DateJanuary 30, 2016
✔ NPI 1407214844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
609 ELM ST, Waco, TX 76704
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Other Providers at the Same Location NPPES 2

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

JACK KELLY DMD
Student in an Organized Health Care Education/Training Program
609 ELM ST
WACO, TX 76704
McLennan County (254) 313-6960
HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
609 ELM ST
WACO, TX 76704
McLennan County (254) 313-6900

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 Pan Chang's NPI number?

The NPI number for Pan Chang is 1407214844. It was assigned to this individual provider in the NPPES registry on January 30, 2016.

Where is Pan Chang located?

Pan Chang practices at 609 Elm St, Waco, TX 76704. The listed phone number is (254) 714-0156.

What is Pan Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Pan Chang was last updated on January 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.