Angela Hana Yoo

Primary specialty

DentistTaxonomy code 122300000X

License

41325 Issued in TX

Practice address

1039 E Interstate 30 Ste 107
Rockwall, TX 75087-4912

Phone

(972) 722-4914

NPI assigned

Jun 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• WA PPO C-SNP

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

• Rockwall Modern Dentistry and Orthodontics, PC

  dba Rockwall Modern Dentistry and Orthodontics

  • General Practice Dentistry
  • Rockwall, TX
  • NPI 1447519624
  NPD (past)

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1053154450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 E INTERSTATE 30 STE 107",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874912",
            "telephone_number": "972-722-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 E INTERSTATE 30 STE 107",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874912",
            "telephone_number": "972-722-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "ANGELA",
        "middle_name": "HANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61556984",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isaura Yanez, LPC
• Ruochen Yang, L.AC., DIPL.OM
• Xiaokun Yang
• Yellow Forest LLC
• Catherine Yoakum
• Mary Kieun You, PSYD
• Victoria Fallon Youman
• Cheryl Elaine Young, RNC, NNP
• Gregory Alan Young, M.D.
• Katherine Young, LMFT, LPC

• Dentist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.