CHI Yu Yang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11699 Issued in CT

Practice address

11 Mountain Ave
Suite 107
Bloomfield, CT 06002-2343

Phone

(860) 262-1044

Fax

(860) 242-8568

NPI assigned

Jun 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

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

• John W Stevens DDS PC

  • General Practice Dentistry
  • Willimantic, CT
  • NPI 1053000505
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1073996898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MOUNTAIN AVE",
            "address_2": "SUITE 107",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022343",
            "telephone_number": "860-262-1044",
            "fax_number": "860-242-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MOUNTAIN AVE",
            "address_2": "SUITE 107",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022343",
            "telephone_number": "860-262-1044",
            "fax_number": "860-242-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CHI YU",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Wright, DPT
• Tiffany F Wright
• WVJ Companion Services, LLC
• Emily Wyckoff, PHD
• Qiaomei Yan, D.M.D.
• Kimberly A Youmans, LPC
• Marguerite Nicola Youngren, MD
• Angela S Yuan, M.D.
• Zeal Family Services

• General Practice Dentistry in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.