Adwen P Yap, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37309 Issued in CA

Practice address

11481 Heacock St
Suite 160
Moreno Valley, CA 92557-7906

Phone

(951) 242-5470

Fax

(951) 242-5470

NPI assigned

Apr 3, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1104169598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 HEACOCK ST",
            "address_2": "SUITE 160",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577906",
            "telephone_number": "951-242-5470",
            "fax_number": "951-242-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 HEACOCK ST",
            "address_2": "SUITE 160",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577906",
            "telephone_number": "951-242-5470",
            "fax_number": "951-242-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAP",
        "first_name": "ADWEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Yang, BS HEALTH SCIENCE
• Jason Hyung Keun Yang, PHARM D
• Stephen Shun Yao Yang, DDS
• Vivian Yang, MD
• Xiong Yang
• Ahmad Yasin
• Christopher Shawn Yeh, DO
• Alice C Yen, DO
• Elizabeth Yentz
• Sarah Anne Yeung

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.