Dick Yang, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE61168869 Issued in WA

Practice address

26425 NE Allen St Ste 102
Duvall, WA 98019-8628

Phone

(425) 788-1551

NPI assigned

Jun 27, 2017

Last updated

Mar 5, 2022By the provider in NPPES

Sex

Male

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 AL

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

Locations

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.

• Dick and Keira Yang, DMD PLLC

  dba Great Smile Dental

  • Dental Clinic/Center
  • Duvall, WA
  • NPI 1831858786
  NPD Authorized official
• Great Smile Dental

  • Dental Clinic/Center
  • Duvall, WA
  • NPI 1013472687
  NPD (past)
• Washington Dental Corporation, PC

  dba Issaquah Highlands Dental Group

  • General Practice Dentistry
  • Issaquah, WA
  • NPI 1962824243
  NPD (past)
• Hirsowitz DMD PLLC

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1598267841
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1174043426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 NE 115TH PL APT 335",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334484",
            "telephone_number": "678-863-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26425 NE ALLEN ST STE 102",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198628",
            "telephone_number": "425-788-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "DICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D6421",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61168869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Margaret Wilkins Melanson, LMHCA
• Danielle Winterwood, MSW, LICSW
• Grace Woods
• Heather Wyman, APRN, FNP-BC
• Wyndrose Family Clinic, PLLC
• Diane Zakrajsek, REGISTERED DIETITIAN
• Amber Zalkind-Hawkins
• Rebekah Noel Zieger

• Dentist in Duvall, WA
• Providers in Duvall, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.