Individual provider Active NPI

Soyoung Jang

  • Dentist
  • Sugar Land, TX
National Provider Identifier
1275915118
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31074 Issued in TX
Practice address
6655 Greatwood Pkwy
Sugar Land, TX 77479-6314
Phone
(281) 341-5116
NPI assigned
Jun 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31074 TX Primary

Addresses

Primary practice location

6655 Greatwood Pkwy
Sugar Land, TX 77479-6314

Mailing address

18111 Brookes BND
Houston, TX 77094-1438
Phone (469) 964-0014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260116002644 TX Practitioner - Dentist 8426535741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Texas HSC at Houston School of Dentistry, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8209 Broadway St
Suite 104
Pearland, TX 77581-7896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31074TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston DDS Partners CurrentSince Oct 14, 2025 Accepting new patients
J. Michael Su D.D.S., P.a. Dentist Past Accepting new patients

Locations

8209 Broadway St
Ste 104
Pearland, TX 77581
Phone (281) 997-8669

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": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1275915118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 BROOKES BND",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941438",
            "telephone_number": "469-964-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 GREATWOOD PKWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796314",
            "telephone_number": "281-341-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "SOYOUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.