Active NPI
Yoojung Chang
- Dentist
- Bellevue, WA
National Provider Identifier
1962876383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60584892
- Practice address
- 10301 NE 10TH St
Apt 1254
Bellevue, WA 98004-4290 - Phone
- (857) 321-9979
- NPI assigned
- Nov 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60584892 | WA | Primary |
Addresses
Primary practice location
10301 NE 10TH St
Apt 1254
Bellevue, WA 98004-4290
Mailing address
10301 NE 10TH St
Apt 1254
Bellevue, WA 98004-4290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60584892 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1962876383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 NE 10TH ST",
"address_2": "APT 1254",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 NE 10TH ST",
"address_2": "APT 1254",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044290",
"telephone_number": "857-321-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "YOOJUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60584892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.