Active NPI
Ya-Pei Holden Chang, DDS
- Dentist
- Snohomish, WA
National Provider Identifier
1285953703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7732
- Practice address
- 229 Avenue D
Snohomish, WA 98290-2744 - Phone
- (360) 568-5822
- Fax
- (360) 568-4367
- NPI assigned
- May 24, 2010
- Last updated
- May 24, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7732 | WA | Primary |
Addresses
Primary practice location
229 Avenue D
Snohomish, WA 98290-2744
Mailing address
229 Avenue D
Snohomish, WA 98290-2744
Phone (360) 568-5822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5024617 | Medicaid | WA |
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 |
|---|---|---|---|
| 7732 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ya Pei Holden Chang DDS PS | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1285953703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 AVENUE D",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902744",
"telephone_number": "360-568-5822",
"fax_number": "360-568-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 AVENUE D",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902744",
"telephone_number": "360-568-5822",
"fax_number": "360-568-4367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "YA-PEI",
"middle_name": "HOLDEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "7732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5024617",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.