Active NPIIndividual providerSole proprietor

Kiran Changa

Dentist, Periodontics in Newark, New Jersey

NPI Number1902590821
Practice location
110 Bergen St, Newark, NJ 07103-2495
Fax
—
Last updated
May 19, 2026

Kiran Changa is a Dentist, Periodontics based in Newark, NJ. Kiran Changa practices in Newark, NJ. The NPI Number for Kiran Changa is 1902590821 and holds a License No. DSO45611 (PA). The current practice location address for Kiran Changa is 110 Bergen St, Newark, NJ 07103-2495 and can be reached out via phone at 732-991-7806.

Provider Profile Details

NPI Number
1902590821
Provider Name
Kiran Changa
Provider Entity Type
Individual
Gender
Male
Address
110 Bergen St, Newark, NJ 07103-2495
Phone Number
732-991-7806
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
Yes
Provider Enumeration Date
June 5, 2023
Last Update Date
May 19, 2026
Certification Date
May 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St
Newark, NJ 07103-2495
City
Newark
Zip
07103-2495
Phone Number
732-991-7806
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
8489 Country Club Dr Ste 4
North Huntingdon, PA 15642-4345
City
North Huntingdon
State
PA
Zip
15642-4345
Phone Number
724-817-3070

License Information

License Number
DSO45611
License State
PA
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kiran Changa?

The NPI number of Kiran Changa is 1902590821. It was assigned on June 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Kiran Changa?

Kiran Changa is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in PA under license number DSO45611.

Where does Kiran Changa practice?

The practice location is 110 Bergen St, Newark, NJ 07103-2495. The office can be reached at 732-991-7806 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902590821 directly on the NPPES registry website.

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