Organization Active NPI

Chung-Ah Jang DDS PLLC

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1215352182
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60019072 Issued in WA
Legal business name
CHUNG-AH JANG DDS PLLC
Practice address
1900 NE 162ND Ave
D101
Vancouver, WA 98684
Phone
(360) 883-7866
NPI assigned
Feb 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Chung-Ah Jang, DDSNPI 1356551097
Title
Member
Phone
(248) 910-4830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60019072 WA Primary

Addresses

Primary practice location

1900 NE 162ND Ave
D101
Vancouver, WA 98684

Mailing address

18501 SE 42ND Circle
Vancouver, WA 98683

Other names 1

  • Harmony Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1900 NE 162nd Ave
Ste D101
Vancouver, WA 98684
Phone (360) 882-7866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1215352182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 SE 42ND CIRCLE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NE 162ND AVE",
            "address_2": "D101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-883-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG-AH JANG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "CHUNG-AH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-910-4830",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60019072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.