Organization Active NPI

Daniel D. Chang, DDS,PS

  • Dentist
  • Renton, WA
National Provider Identifier
1306019963
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010184 Issued in WA
Legal business name
DANIEL D. CHANG, DDS,PS
Practice address
200 SW 41St St
Suite 200
Renton, WA 98057-4917
Phone
(425) 251-8000
Fax
(425) 251-6174
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Daniel Dooyong Chang, D.D.SNPI 1992821086
Title
President
Phone
(425) 251-8000

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00010184 WA Primary

Addresses

Primary practice location

200 SW 41St St
Suite 200
Renton, WA 98057-4917

Mailing address

200 SW 41St St
Suite 200
Renton, WA 98057-4917
Phone (425) 251-8000

Other names 1

  • East Valley Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

200 SW 41st St
Ste 200
Renton, WA 98057
Phone (425) 251-8000

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1306019963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW 41ST ST",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574917",
            "telephone_number": "425-251-8000",
            "fax_number": "425-251-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW 41ST ST",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574917",
            "telephone_number": "425-251-8000",
            "fax_number": "425-251-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D. CHANG, DDS,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DOOYONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-251-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Valley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.