Active NPI
Joseph C Yang, D.D.S.
- Periodontics
- Bethesda, MD
National Provider Identifier
1134192016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 41808
- Practice address
- 8901 Wisconsin Ave.
Bethesda, MD 20889-0001 - Phone
- (301) 295-0077
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 41808 | CA | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave.
Bethesda, MD 20889-0001
Mailing address
1855 Foxstone Dr
Vienna, VA 22182-2147
Phone (703) 938-1265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41808 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Yang Dental Corporation | Periodontics | Current | Accepting new patients |
| Nguyen and Yang Dental Partnership | Periodontics | Current | Accepting new patients |
Locations
9855 Erma Rd
Ste 110
San Diego, CA 92131
Phone (858) 518-2205
Organizations & group practices 2
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.
-
- Periodontics
- San Diego, CA
- NPI 1053863928
-
- Periodontics
- San Diego, CA
- NPI 1457749723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1134192016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 FOXSTONE DR",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822147",
"telephone_number": "703-938-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE.",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "41808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.