Stephanie Yang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105609 Issued in CA

Practice address

1919 Vista del Lago Dr Ste 11
Valley Springs, CA 95252-8547

Phone

(097) 720-3752

NPI assigned

Jun 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alizadeh & Saleh Dental Group Inc

  • Dentist
  • Sacramento, CA
  • NPI 1376263517
  NPD (past)
• Alizadeh Dental Corporation

  • Dental Clinic/Center
  • Sacramento, CA
  • NPI 1659006716
  NPD (past)
• Karl M Zander DDS Dental Group-Riverbend

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1568836112
  NPD (past)
• KMZ DDS Apdc

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1538132550
  NPD (past)
• Aj Trotta DDS & Associates LTD

  • Dentist
  • Chicago, IL
  • NPI 1912278235
  NPD (past)
• WS Dental Chicago, PLLC

  • Dentist
  • Chicago, IL
  • NPI 1205629433
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1205240066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VISTA DEL LAGO DR STE 11",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528547",
            "telephone_number": "097-720-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 VISTA DEL LAGO DR STE 11",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528547",
            "telephone_number": "097-720-3752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Secret River Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958313437",
            "country_code": "US",
            "telephone_number": "916-391-2037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4224 W Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606302729",
            "country_code": "US",
            "telephone_number": "773-545-2881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "STEPHANIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030265",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Logmein",
            "affiliation": "N",
            "endpointDescription": "Remove access",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1919 Vista Del Lago Dr Ste 11",
            "city": "Valley Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952528547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valor Care Medical Transportation
• Corinna Van Ness, P.T.
• Marnene Jean Waid, CMT
• Jill D Walter, ACSW
• Courtney Nichole Ward, RBT
• Melanie Ann Yurkovich, F.N.P.

• General Practice Dentistry in Valley Springs, CA
• Providers in Valley Springs, 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 Dec 19, 2022; 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.