Chang Han & Sung Han P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHANG HAN & SUNG HAN P.C.

Doing business as

Pristine Family & Implant Dentistry

Practice address

14730 NE 8TH St Ste 105
Bellevue, WA 98007-4128

Phone

(425) 747-4630

NPI assigned

Sep 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Chang Youn Han, DDSNPI 1518269398

Title

Owner

Phone

(425) 747-4630

Specialties & licenses 1

Addresses

Other names 1

• Pristine Family & Implant Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chang Youn Han, D.D.S.

  • General Practice Dentistry
  • Springfield, MA
  • NPI 1518269398
  NPD (past) Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1699259960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14730 NE 8TH ST STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074128",
            "telephone_number": "425-747-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14730 NE 8TH ST STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074128",
            "telephone_number": "425-747-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG HAN & SUNG HAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "CHANG YOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-747-4630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pristine Family & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wan Wa Chan, LIC. ACUPUNCTURIST
• William Chan
• Christopher A. Chandler, LMHC
• Mary L Chandler, MD
• Siobhan Chandler, LMHCA
• Anny P Chang
• Bradford K.W. Chang, PHD
• Gary Shu-Hao Chang, PHARM. D
• Gloria Chang, DNP
• Han Chang

• Dental Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.