Jason Chang DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE9001 Issued in WA

Legal business name

JASON CHANG DDS PLLC

Practice address

1426 35TH St
Suite #1
Everett, WA 98201-4798

Phone

(425) 252-1188

Fax

(425) 258-2928

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Jason H Chang, DDS

Title

Member

Phone

(425) 252-1188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255540811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 35TH ST",
            "address_2": "SUITE #1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014798",
            "telephone_number": "425-252-1188",
            "fax_number": "425-258-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 35TH ST",
            "address_2": "SUITE #1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014798",
            "telephone_number": "425-252-1188",
            "fax_number": "425-258-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON CHANG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-252-1188",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE9001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hetal Jariwala, RPH
• Alicja Jarosz, ADN, RN
• Jasmine Jarrell
• Alicia K Jarrett, LMHCA
• Kimberly Mae Jarrett, RN
• Ebrima Jatta, ARNP
• Jermaine Javellana, PHARMD
• Andrew Rolly Tendencia Javier, RN
• Raleigh Vinyce Tendencia Javier, RN
• PA' Modou Jawneh, NC60545152

• General Practice Dentistry in Everett, WA
• Providers in Everett, 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 Aug 22, 2020; 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.