Provider Demographics
NPI:1649297219
Name:CHANG, DENNIS HSU-CHENG (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:HSU-CHENG
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST STE 210
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3487
Mailing Address - Country:US
Mailing Address - Phone:720-754-4410
Mailing Address - Fax:303-321-0344
Practice Address - Street 1:4700 HALE PKWY STE 360
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4041
Practice Address - Country:US
Practice Address - Phone:720-754-4410
Practice Address - Fax:303-321-0344
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40842207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0330710001OtherDMERC
CO90373227Medicaid
CO200045969Medicare PIN
CO478098Medicare PIN
COH72876Medicare UPIN
CO530247YMCJMedicare PIN