Active NPI
Daniel D. Chang, DDS,PS
- Dentist
- Renton, WA
National Provider Identifier
1306019963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00010184
- 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
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.S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Renton, WA
- NPI 1992821086
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.