Dr. Michelle G. Chang DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. MICHELLE G. CHANG DMD PLLC

Practice address

1620 Duvall Ave NE Ste a
Renton, WA 98059-3975

Phone

(425) 271-6002

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Fordham

Title

Administrator

Phone

(253) 736-3739

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Raynond Lee, DDS

  • General Practice Dentistry
  • Renton, WA
  • NPI 1629168075
  NPD (past)
• Brian Douglas Williams, DDS

  • General Practice Dentistry
  • Redmond, WA
  • NPI 1760600100
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1275105033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 DUVALL AVE NE STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593975",
            "telephone_number": "425-271-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 DUVALL AVE NE STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593975",
            "telephone_number": "425-271-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHELLE G. CHANG DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "FORDHAM",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-736-3739"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlin Doyle, PA-C
• Dr Kremer Enterprise PLLC Dba Highlands Chiropractic (Highlands Chiropractic)
• Dr Montel R Jenkins DMD PS
• Dr. Crowell, Dr. Nguyen & Associates, PLLC (Eyes on Sunset)
• Dr. Mark McDaniels
• Vera P Dragonchuk, M.A.
• Kirby A Drawbaugh, RPH
• Michelle Drones, ARNP
• Jessica Mt Dubose, MSW, LICSW
• Shannon Duffy, APRN

• General Practice Dentistry in Renton, WA
• Providers in Renton, 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 Jul 12, 2021; 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.