Individual provider Active NPI

Ma Marcie Yang, DDS

  • Prosthodontics
  • Mauston, WI
National Provider Identifier
1316277973
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
6765-15 Issued in WI
Practice address
510 E State St
Mauston, WI 53948-1746
Phone
(608) 847-5614
NPI assigned
Jan 5, 2010
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 6765-15 WI Primary

Addresses

Primary practice location

510 E State St
Mauston, WI 53948-1746

Mailing address

510 E State St
Apt. 201
Mauston, WI 53948-1746
Phone (608) 847-5614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160908002648 WI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9032405592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6765-15WIMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Teeth LLC Prosthodontics CurrentSince Dec 28, 2025 Accepting new patients
Ma Marcie Yang DDS, Ms LLC PastSince Dec 28, 2025 Accepting new patients

Locations

510 E State St
Mauston, WI 53948
Phone (608) 847-5614

510 E State St
Apt 201
Mauston, WI 53948

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1316277973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E STATE ST",
            "address_2": "APT. 201",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481746",
            "telephone_number": "608-847-5614",
            "fax_number": "608-847-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E STATE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481746",
            "telephone_number": "608-847-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "MA",
        "middle_name": "MARCIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "6765-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.