1225327216 NPI number — MS. ALBERTA ANITA ROSSBY CAP

Table of content: DR. YING-YI CHANG D.D.S., M.S. (NPI 1659406007)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225327216 NPI number — MS. ALBERTA ANITA ROSSBY CAP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROSSBY
Provider First Name:
ALBERTA
Provider Middle Name:
ANITA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CAP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROSSBY
Provider Other First Name:
ANITA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CAP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1225327216
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/31/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
99198 OVERSEAS HWY
Provider Second Line Business Mailing Address:
SUITE 5
Provider Business Mailing Address City Name:
KEY LARGO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33037-2437
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-451-8018
Provider Business Mailing Address Fax Number:
305-451-8019

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
99198 OVERSEAS HWY
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
KEY LARGO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33037-2437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-451-8018
Provider Business Practice Location Address Fax Number:
305-451-8019
Provider Enumeration Date:
03/31/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 060278700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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