Bellevue Interventional Spine Specialist PS

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS

Practice address

13033 Bel Red Rd
Suite 120
Bellevue, WA 98005-2622

Phone

(425) 452-0101

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David H. Chang, M.D.

Title

President

Phone

(425) 452-0404

Specialties & licenses 1

Addresses

Other names 1

• Bellevue Spine Specialist Doing business as

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1720111792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13033 NE BEL RED RD STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052633",
            "telephone_number": "425-452-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13033 BEL RED RD",
            "address_2": "SUITE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052622",
            "telephone_number": "425-452-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-452-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Spine Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellevue Spine Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bellevue Heart and Vascular Center, LLC
• Bellevue Home Health & Care, LLC
• Bellevue Hyperbarics,PLLC
• Bellevue Internal Medicine Associates PLLC
• Bellevue Interventional Spine Specialist PS
• Bellevue Kidney Specialists PLLC
• Bellevue Laser and Cosmetic Center PS
• Bellevue Legacy Primary Care PLLC
• Bellevue Medical Center
• Bellevue Medical Imaging, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.