CJ Chang-Tae Jang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8826 Issued in WA

Practice address

7901 Skansie Ave
Suite #245
Gig Harbor, WA 98335-8349

Phone

(253) 858-6070

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CJ C Jang

  dba Rosedale Sleep Dentistry

  • Customized Equipment (DME)
  • Gig Harbor, WA
  • NPI 1588110043
  NPD (past) Authorized official
• CJ C Jang DDS PLLC

  dba rosedale dental

  • General Practice Dentistry
  • Gig Harbor, WA
  • NPI 1346115680
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457424806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SKANSIE AVE",
            "address_2": "SUITE #245",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358349",
            "telephone_number": "253-858-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SKANSIE AVE",
            "address_2": "SUITE #245",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358349",
            "telephone_number": "253-858-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "CJ",
        "middle_name": "CHANG-TAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "8826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisa Jackson, IHP
• Annaliese Jacobsson, LICSW, MSW, BSW
• Jennifer Nadine Jaggi, MD
• Esther C Jakawich, ARNP
• Janeen Provazek Ma PS
• Janis L Peterson PHD
• Ka Ning Jellison, PHARMD
• Jennifer Scroggie PLLC
• Richard Frederick Jensen, PH.D.
• Robert Dean Jensen, M.D.

• Dentist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.