Individual provider Active NPI

Kristy Yang, DMD

  • Dentist
  • Long Beach, CA
National Provider Identifier
1174190367
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108870 Issued in CA
Practice address
5963 E Spring St
Long Beach, CA 90808-3752
Phone
(562) 421-8401
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS043147 PA
Dentist 122300000X 108870 CA Primary

Addresses

Primary practice location

5963 E Spring St
Long Beach, CA 90808-3752

Mailing address

3459 William Penn Hwy
Pittsburgh, PA 15235-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108870CAMDDentist
DS043147PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Lorenz Dental Corporation CurrentSince Aug 17, 2025 Accepting new patients
Stephen W. Clark, DDS Inc. PastSince Aug 17, 2025 Accepting new patients

Locations

5963 E Spring St
Long Beach, CA 90808
Phone (562) 421-8401

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1174190367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 WILLIAM PENN HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083752",
            "telephone_number": "562-421-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KRISTY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043147",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.