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Active NPI 1023237708 Individual Practitioner Male Practitioner

Dr. Kook-Jin Chang , DDS

Dentist - General Practice • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Kook-Jin Chang, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bronx, NY. Practice services are available at 234 E. 149TH ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

234 E. 149th St.

Bronx, NY 10451

Telephone 7185795396
Associated Practice Facility / Clinic
🏢 Cute Dental Care Facility NPI 1689858565

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
378 Specialists

Practicing in Bronx, NY (8411 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 52588

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Healthy Families Delta
G9801103
Commercial Insurance / Payer ID Medi Cal
G9151801 (CA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Milly Toro , LCSW-R

Social Worker - Clinical

NPI 1003969965

Licensed Clinical Social Worker - Registered

Dr. Frankely Jimenez , MD

Student in an Organized Health Care Education/Training Program

NPI 1649019373

Doctor of Medicine (M.D.)

Aaron Miller

Pediatrics

NPI 1730245754

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2016

Registered at 234 E. 149TH ST., BRONX, NY 10451 (Tel: 7185795396)

📍
Updated Business Mailing Address June 17, 2016

Registered at 1749 GRAND CONCOURSE, W2K, BRONX, NY 104538000 (Tel: 9283805044)

👤
Provider Name / Credentials Updated June 17, 2016

Recorded as KOOK-JIN CHANG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2016

Dentist (License #52588 in CA)

🟢
Initial NPI Registration & Enumeration April 24, 2007

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: 1023237708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: June 17, 2016
Sole Proprietor: No

Mailing Address

1749 Grand Concourse, W2k

Bronx, NY 104538000

Phone: 9283805044

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.