Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LISA CHANG D.D.S.
NPI 1811379019
Dentist in Buffalo, NY

Active since June 24, 2015PECOS Enrolled
2290 DELAWARE AVE STE 300, BUFFALO, NY 14216(716) 321-0629 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2026, Aug 23, 2019, Jan 17, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Lisa Chang D.d.s. NPPES

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

DR. LISA CHANG D.D.S. (NPI 1811379019) is an individual dentist in Buffalo, New York, licensed in New York (058763-1) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811379019
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LISA CHANGCredential: D.D.S.
Location Address2290 DELAWARE AVE STE 300Buffalo, NY 14216-2632
Mailing Address2290 Delaware Ave Ste 300Buffalo, NY 14216-2632 · (716) 321-0629
Sole ProprietorNo
Enumeration DateJune 24, 2015
Last NPPES UpdateJuly 27, 20264 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
NPI 1811379019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 058763-1
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.
2290 DELAWARE AVE STE 300, Buffalo, NY 14216

Other Identifiers 1

Medicaid04575077NY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lisa Chang D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14216 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 (Endodontics)
2290 DELAWARE AVE STE 300
BUFFALO, NY 14216

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 Lisa Chang's NPI number?

The NPI number for Lisa Chang is 1811379019. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Lisa Chang located?

Lisa Chang practices at 2290 Delaware Ave Ste 300, Buffalo, NY 14216. The listed phone number is (716) 321-0629.

What is Lisa Chang's specialty?

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

Is Lisa Chang enrolled in Medicare?

Yes. Lisa Chang is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Chang accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Lisa 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 Lisa Chang was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.