Benjamin Jonah Roda Chang, DTCM, ADS, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00002946 Issued in WA

Practice address

2801 Meridian St Ste 102
Bellingham, WA 98225-2400

Phone

(360) 756-5866

Fax

(360) 734-0843

NPI assigned

May 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bellingham Acupuncture and Wellness

  • Acupuncturist
  • Bellingham, WA
  • NPI 1588313639
  NPD Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1780896399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 DOUGLAS RD",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489555",
            "telephone_number": "360-220-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MERIDIAN ST STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252400",
            "telephone_number": "360-756-5866",
            "fax_number": "360-734-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "BENJAMIN",
        "middle_name": "JONAH RODA",
        "name_prefix": "Dr.",
        "credential": "DTCM, ADS, L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588313639",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Robert Chambers, MA SUDP
• Beverly Chan, PHARMD
• Mel Eugene Chandler, MD
• Jeannine Chaney, PTA
• Alan G.Y. Chang, M.D.
• Corrina Chang, M.S. CCC/SLP
• Norman F Chang, MD
• Anne G Chapin, PA-C
• Elodie Chaplain, LMT
• Ben Chapman

• Acupuncturist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.