JULIET CHANG DMD, MSD
NPI 1629527593
Dentist - Periodontics in Camarillo, CA

Active since October 03, 2016Opted out of Medicare · through Feb 14, 2027
3801 LAS POSAS RD STE 205, CAMARILLO, CA 93010(805) 388-1730 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 5, 2022, Aug 28, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Juliet Chang Dmd, Msd NPPES

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

JULIET CHANG DMD, MSD (NPI 1629527593) is an individual periodontics provider in Camarillo, California, licensed in California (107235) and active in the NPI registry since October 2016. She has opted out of Medicare through February 14, 2027 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629527593
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJULIET CHANGCredential: DMD, MSD
Location Address3801 LAS POSAS RD STE 205Camarillo, CA 93010-1426
Mailing Address351 Spring Park RdCamarillo, CA 93012-7734 · (818) 825-2833
Sole ProprietorYes
Enumeration DateOctober 3, 2016
Last NPPES UpdateApril 5, 20224 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
NPI 1629527593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses Licensed in CA · 107235 Licensed in TN · 11248
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3801 LAS POSAS RD STE 205, Camarillo, CA 93010

Secondary Practice Locations 3

Location 1160 Movie RowSmyrna, TN 37167-6532 · Phone (615) 930-9606
Location 21481 W 10th StIndianapolis, IN 46202-2803 · Phone (317) 988-2492
Location 3590 foothill drivesalt lake city, UT 84148 · Phone (801) 584-1206

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Juliet Chang Dmd, Msd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 14, 2023 through February 14, 2027.

Opt-Out Effective DateFebruary 14, 2023
Opt-Out In Effect ThroughFebruary 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93010 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

Other Providers at the Same Location NPPES

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

Dentist (Periodontics)
3801 LAS POSAS RD STE 205
CAMARILLO, CA 93010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629527593, enumerated as an "individual" on October 03, 2016.

The provider is located at 3801 LAS POSAS RD STE 205 CAMARILLO, CA 93010 and the phone number is (805) 388-1730.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.