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CHANGNDDS, INC
NPI 1902399637
Clinic/Center - Dental in San Jose, CA

Active since June 07, 2018
3161 SENTER RD STE F&G, SAN JOSE, CA 95111(408) 363-1787 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About CHANGNDDS, INC

This page provides the complete NPI Profile along with additional information for Changndds, Inc, a provider established in San Jose, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1902399637 assigned on June 2018. The practitioner's primary taxonomy code is 261QD0000X with license number DDS37267 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Nghiem Chang Dds (President)

NPI
1902399637 Verify this NPI
Provider Name
CHANGNDDS, INC
Entity Type
Organization
Location Address
3161 SENTER RD STE F&G SAN JOSE, CA 95111
Location Phone
(408) 363-1787
Mailing Address
3161 SENTER RD STE F&G SAN JOSE, CA 95111
Mailing Phone
(408) 363-1787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2018
Last Update Date
06-07-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
DDS37267
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. NGHIEM CHANG DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(408) 363-1767

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Frequently Asked Questions

What is CHANGNDDS, INC's NPI number?

The NPI number assigned to this healthcare provider is 1902399637, enumerated as an "organization" on June 07, 2018.

Where is the provider located?

The provider is located at 3161 SENTER RD STE F&G SAN JOSE, CA 95111 and the phone number is (408) 363-1787.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.