Insook Patty Yang, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8159 Issued in IA

Practice address

214 E Erie St
Missouri Valley, IA 51555-1533

Phone

(712) 642-4136

Fax

(712) 642-3664

NPI assigned

Sep 28, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164513545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E ERIE ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551533",
            "telephone_number": "712-642-4136",
            "fax_number": "712-642-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E ERIE ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551533",
            "telephone_number": "712-642-4136",
            "fax_number": "712-642-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "INSOOK",
        "middle_name": "PATTY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5264622",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walls Family Dentistry
• Alexander Walls, DMD
• Jeffrey L Walls, D.D.S.
• Anna Jean Ward, PT
• Talia Witherspoon

• General Practice Dentistry in Missouri Valley, IA
• Providers in Missouri Valley, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.