Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093813354 Individual Practitioner Male Practitioner

Dr. Pe Chang , DDS

Dentist • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Dr. Pe Chang, DDS is a registered healthcare professional specializing in Dentist in Albuquerque, NM. Practice services are available at 7111 PROSPECT PL NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7111 Prospect Pl Ne
Suite B

Albuquerque, NM 871104309

Telephone 5058885131
Fax 5058885135
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
213 Specialists

Practicing in Albuquerque, NM (630 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DD2344

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0018016 (NM)
Medicaid State Provider ID
55120725 (NM)
Commercial Insurance / Payer ID United Concordia
1505220 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1245492933

Doctor of Dental Medicine

Dr. Jean-Claude Wilcox , DDS

Dentist - General Practice

NPI 1497888234

Doctor of Dental Surgery

NPI 1548485196

Doctor of Dental Surgery

Dr. John Boutz , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1740265255

Doctor of Dental Surgery, Master of Science

Dr. Ben Brabb , DDS

Dentist - General Practice

NPI 1912194994

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2017

Registered at 7111 PROSPECT PL NE, SUITE B, ALBUQUERQUE, NM 871104309 (Tel: 5058885131)

📍
Updated Business Mailing Address October 27, 2017

Registered at 6800 VISTA DEL NORTE RD NE, UNIT #1526, ALBUQUERQUE, NM 871131311

👤
Provider Name / Credentials Updated October 27, 2017

Recorded as PE CHANG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Dentist (License #DD2344 in NM)

NPI Profile Active April 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2011

Registered at 7111 PROSPECT PL NE, SUITE B, ALBUQUERQUE, NM 871104309 (Tel: 5059803107)

📍
Updated Business Mailing Address April 21, 2011

Registered at 6800 VISTA DEL NORTE RD NE, UNIT #1526, ALBUQUERQUE, NM 871131311 (Tel: 5059803107)

👤
Provider Name / Credentials Updated April 21, 2011

Recorded as PE CHANG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2011

Dentist (License #DD2344 in NM)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093813354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: October 27, 2017
Sole Proprietor: Yes

Mailing Address

6800 Vista Del Norte Rd Ne, Unit #1526

Albuquerque, NM 871131311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.