Individual provider Active NPI

Angie Yang, D.D.S.

  • Dentist
  • Tamuning, GU
National Provider Identifier
1023756863
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-1046 Issued in GU
Practice address
744 N. Marine Corps Dr.
Ste 119
Tamuning, GU 96913-4426
Phone
(671) 647-8702
Fax
(671) 647-8704
NPI assigned
May 23, 2022
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS106461 CA
Dentist 122300000X D-1046 GU Primary

Addresses

Primary practice location

744 N. Marine Corps Dr.
Ste 119
Tamuning, GU 96913-4426

Mailing address

1965 Cassia Rd Apt 103
Carlsbad, CA 92011-4184
Phone (760) 703-1000

Other practice location 1

390 W Valley Pkwy
Escondido, CA 92025-2635
Phone (760) 336-8478

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

LicenseStateTypeSpecialty
DDS106461CAMDDentist
D-1046GUMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1023756863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 CASSIA RD APT 103",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114184",
            "telephone_number": "760-703-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 N. MARINE CORPS DR.",
            "address_2": "STE 119",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134426",
            "telephone_number": "671-647-8702",
            "fax_number": "671-647-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 W Valley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920252635",
            "country_code": "US",
            "telephone_number": "760-336-8478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "ANGIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS106461",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GU",
            "license": "D-1046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.