Benjamin Chang LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE8374 Issued in WA

Legal business name

BENJAMIN CHANG LLC

Practice address

1212 N 45TH St
Seattle, WA 98103-6668

Phone

(206) 552-8482

NPI assigned

Nov 26, 2014

Last updated

Nov 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Chang

Title

Owner

Phone

(206) 552-8482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1568869147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036668",
            "telephone_number": "206-552-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN CHANG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-552-8482",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Francis Benishek, MA, NA, RC
• Moises Benitez - Martinez, REG DENTAL HYGIENIST
• Sandra Lorena Benitez Kruidenier, PA-C
• Elias Ray Benitez Jr., MD
• Sara G Benitez, PA-C
• Benjamin Kang, DDS, PHD, PLLC
• Benjamin L Chang, DDS PS (Greenlake Dental)
• Briana Benjamin, MS
• Duncan Benjamin, PSYD
• Erika Moen Benjamin, ARNP

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.