NPIMap

Organization Active NPI

Stephen S Yang DDS Inc

  • General Practice Dentistry
  • Moreno Valley, CA
National Provider Identifier
1356422166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31429 Issued in CA
Legal business name
STEPHEN S YANG DDS INC
Practice address
25030 Alessandro Blvd
#D
Moreno Valley, CA 92553-4383
Phone
(951) 924-0993
Fax
(951) 247-9693
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen Shun Yao Yang, DDSNPI 1588745319
Title
President
Phone
(951) 924-0993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31429 CA Primary

Addresses

Primary practice location

25030 Alessandro Blvd
#D
Moreno Valley, CA 92553-4383

Mailing address

25030 Alessandro Blvd
#D
Moreno Valley, CA 92553-4383
Phone (951) 924-0993

Other identifiers 1

IdentifierTypeStateIssuer
G9356901OtherCADENTICAL

Other names 1

  • Alessandro Family Dentistry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356422166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25030 ALESSANDRO BLVD",
            "address_2": "#D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534383",
            "telephone_number": "951-924-0993",
            "fax_number": "951-247-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25030 ALESSANDRO BLVD",
            "address_2": "#D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534383",
            "telephone_number": "951-924-0993",
            "fax_number": "951-247-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN S YANG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "SHUN YAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-924-0993",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9356901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alessandro Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.