Organization Active NPI

Jin N Chang DMD PLLC

  • General Practice Dentistry
  • Marysville, WA
National Provider Identifier
1447108709
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JIN N CHANG DMD PLLC
Practice address
2704 171St PL NE # L-101
Marysville, WA 98271-4738
Phone
(360) 652-1400
NPI assigned
Mar 20, 2026
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Jin N Chang
Title
Owner/ Dentist
Phone
(360) 652-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2704 171St PL NE # L-101
Marysville, WA 98271-4738

Mailing address

2704 171St PL NE # L-101
Marysville, WA 98271-4738
Phone (360) 652-1400

National Provider Directory

National Provider Directory

Locations

2704 171st Pl NE
#L101
Marysville, WA 98271
Phone (360) 652-1400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1447108709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 171ST PL NE # L-101",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714738",
            "telephone_number": "360-652-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 171ST PL NE # L-101",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714738",
            "telephone_number": "360-652-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN N CHANG DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "360-652-1400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.