Jason H Chang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE9001 Issued in WA

Practice address

1101 Avenue D
C104
Snohomish, WA 98290-2083

Phone

(425) 252-1188

Fax

(425) 258-2928

NPI assigned

Oct 2, 2006

Last updated

Dec 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jason Chang DDS PLLC

  • General Practice Dentistry
  • Everett, WA
  • NPI 1255540811
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1144313297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 146TH ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125515",
            "telephone_number": "206-579-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 AVENUE D",
            "address_2": "C104",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902083",
            "telephone_number": "425-252-1188",
            "fax_number": "425-258-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JASON",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE9001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Carr, MSW, LICSW
• Michael Leigh Carter, DC
• Nicholas Lee Carter
• Elicia Maureen Cartmell Demerritt, MOTR/L
• Cascade View Counseling Services, LLC
• Ya-Pei Holden Chang, DDS
• Brittney Charles
• Michael Chen, DMD
• Elisa Madeline Chimienti, L.M.P.
• Chiropractic Health & Wellness Center, Inc.

• General Practice Dentistry in Snohomish, WA
• Providers in Snohomish, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.