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Active NPI 1780518837 Organization (Entity Type 2)

Chan Braces

Dentist - Orthodontics and Dentofacial Orthopedics • Bothell, WA

About Chan Braces NPI 1780518837 Summary

Chan Braces is a verified healthcare organization specializing in Dentist - Orthodontics and Dentofacial Orthopedics operating in Bothell, WA. Located at 19020 BOTHELL WAY NE STE A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1780518837.

Administrative operations and authorized compliance are overseen by Christian Kenworthy (Provider).

The facility is associated with 3 linked healthcare practitioners providing clinical services. In addition to its main center, the organization maintains 3 secondary practice locations in the region.

Facility Location & Contact Primary Location

Facility Address

19020 Bothell Way Ne Ste A

Bothell, WA 980112996

Telephone 4254859332

Authorized Official Information

Authorized Contact Name

Christian Kenworthy

Title / Role

Provider

Official Telephone

4699630340

Facility Classifications & Specialties

Dentist - Orthodontics and Dentofacial Orthopedics Primary Taxonomy

NUCC Taxonomy Code: 1223X0400X

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Dentist - Oral and Maxillofacial Surgery

Juneau, AK

View Practitioner Profile →

Dentist - Pediatric Dentistry

Juneau, AK

View Practitioner Profile →

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

3 Branches

2220 Dunn St

Juneau, AK 998019304

Phone: 9077383404

622 W Main St

Monroe, WA 982722102

Phone: 4254859332

3414 132nd St Se Ste 301

Mill Creek, WA 980124627

Phone: 4254859332

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 11, 2026

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2026

Registered at 19020 BOTHELL WAY NE STE A, BOTHELL, WA 980112996 (Tel: 4254859332)

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Updated Business Mailing Address June 11, 2026

Registered at 19020 BOTHELL WAY NE STE A, BOTHELL, WA 980112996 (Tel: 9077383204)

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Organization / Clinic Name Updated June 11, 2026

Operating as CHAN BRACES

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2026

Dentist

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Initial NPI Registration & Enumeration June 11, 2026

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1780518837
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 11, 2026
Last Update: June 11, 2026

Mailing Address

19020 Bothell Way Ne Ste A

Bothell, WA 980112996

Phone: 9077383204

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.