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Dr. Mary Jooeun Chang , DDS

Dentist - General Practice β€’ Everett, WA

Active NPI 1518539774 Individual Practitioner Female Practitioner
Practice location in NPPES

1519 132nd St Se Ste G
Everett, WA 982087203

Call 4256163729 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1519 132nd St Se Ste G

Everett, WA 982087203

Telephone 4256163729
Organization at the Same NPPES Address or Phone
Washington Dental Corporation, Pc Facility NPI 1750885471

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Everett and Washington

80 active clinicians are listed under Dentist - General Practice with a practice address in Everett, WA (3,198 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Everett

0% of these 80 clinicians have the CMS telehealth indicator.

0% of these 80 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA 70083726

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Osman Choudhry

Dentist - General Practice

NPI 1164088183
Ashley Koh

Dentist - General Practice

NPI 1851853774

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location July 31, 2026

Registered at 1519 132ND ST SE STE G, EVERETT, WA 982087203 (Tel: 4256163729)

πŸ“
Updated Business Mailing Address July 31, 2026

Registered at 1519 132ND ST SE STE G, EVERETT, WA 982087203 (Tel: 4256163729)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2026

Dentist (license number reported to NPPES: WA 70083726)

πŸ“
Updated Practice Location October 02, 2025

Registered at 590 FARRINGTON HWY UNIT 155, KAPOLEI, HI 967072011 (Tel: 8084279987)

πŸ“
Updated Business Mailing Address October 02, 2025

Registered at 590 FARRINGTON HWY UNIT 155, KAPOLEI, HI 967072011 (Tel: 8084279987)

πŸ‘€
Provider Name / Credentials Updated October 02, 2025

Recorded as MARY CHANG, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2025

Dentist (license number reported to NPPES: HI DT-3145)

πŸ“
Updated Practice Location December 13, 2022

Registered at 100 W EL CAMINO REAL STE 63A, MOUNTAIN VIEW, CA 940402649 (Tel: 6505631180)

πŸ“
Updated Business Mailing Address December 13, 2022

Registered at 507 IVY DR, MENLO PARK, CA 940251340

βœ…
NPI Profile Active July 15, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 15, 2021

Registered at 26001 REDLANDS BLVD, LOMA LINDA, CA 923737762 (Tel: 9098257084)

πŸ“
Business Mailing Address (Initial Record) July 15, 2021

Registered at 11185 RICHMONT RD, LOMA LINDA, CA 923542967

πŸ‘€
Provider Name / Credentials (Initial Record) July 15, 2021

Recorded as MARY CHANG

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 15, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518539774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2021
Last Update: July 31, 2026
Sole Proprietor: No

Other Dentist - General Practices in Everett

All Dentist - General Practices in Everett

Mailing Address

1519 132nd St Se Ste G

Everett, WA 982087203

Phone: 4256163729

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.