Weidong Yang, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

G1-0001354 Issued in DE

Practice address

4133 Ogletown Stanton Rd
Newark, DE 19713-4168

Phone

(302) 893-6989

Fax

(215) 389-3876

NPI assigned

Jul 2, 2012

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457827200000",
    "number": "1306100607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FIRETHORN CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114908",
            "telephone_number": "302-893-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134168",
            "telephone_number": "302-893-6989",
            "fax_number": "215-389-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "WEIDONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2016-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039134",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YANGWD",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YANGWD",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail M Wynn, MD
• Jasmine Wynn, LCSW
• Lindsey Xu, CGC
• Carl Ramses Yacoub, M.D.
• Kennedy Yalamanchili, MD
• Xiao Yang, MD
• Francis Yangello, DPT, PT
• Christine Yankowski, D.O.
• Maria Yankus, PA-C
• Leah Alice Yarnell

• Dentist in Newark, DE
• Providers in Newark, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.