Active NPI
Chunyao Ryan Chuang, D.D.S.
- General Practice Dentistry
- Everett, WA
National Provider Identifier
1093843922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00008493
- Practice address
- 3830 Colby Ave
Everett, WA 98201-4913 - Phone
- (425) 259-0076
- Fax
- (425) 259-0077
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00008493 | WA | Primary |
Addresses
Primary practice location
3830 Colby Ave
Everett, WA 98201-4913
Mailing address
3830 Colby Ave
Everett, WA 98201-4913
Phone (425) 259-0076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5034897 | Medicaid | WA |
Other names 1
- Dr. Ryan Chuang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00008493 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Chuang DDS | Current | Accepting new patients |
Locations
3830 Colby Ave
Everett, WA 98201
Phone (425) 259-0076
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Everett, WA
- NPI 1154279487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093843922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014913",
"telephone_number": "425-259-0076",
"fax_number": "425-259-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014913",
"telephone_number": "425-259-0076",
"fax_number": "425-259-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUANG",
"first_name": "CHUNYAO",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00008493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5034897",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RYAN",
"last_name": "CHUANG",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.