Individual provider Active NPI

Angela P Yang, DDS

  • Dentist
  • Buda, TX
National Provider Identifier
1366063240
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37937 Issued in TX
Practice address
15550 I-35 Frontage Road
Ste 110
Buda, TX 78610
Phone
(512) 265-8427
Fax
(512) 271-6464
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 37937 TX Primary

Addresses

Primary practice location

15550 I-35 Frontage Road
Ste 110
Buda, TX 78610

Mailing address

3014 Newbrook Dr
Pearland, TX 77584-7178
Phone (832) 605-7552

Other practice location 1

651 Barnes Dr Ste 208
San Marcos, TX 78666-6198
Phone (512) 805-4867

Other practice location 2

41-1347 Kalanianaole Hwy Ste A
Waimanalo, HI 96795-1297
Phone (808) 259-7948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37937TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brush32 Dental of Buda PLLC Dentist CurrentSince Apr 28, 2024 Accepting new patients
Waimanalo Health Center Dentist PastSince May 1, 2020 Accepting new patients

Locations

15550 S Ih 35
Ste 110
Buda, TX 78610
Phone (512) 265-8427

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1366063240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 NEWBROOK DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847178",
            "telephone_number": "832-605-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15550 I-35 FRONTAGE ROAD",
            "address_2": "STE 110",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "78610",
            "telephone_number": "512-265-8427",
            "fax_number": "512-271-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Barnes Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786666198",
            "country_code": "US",
            "telephone_number": "512-805-4867",
            "fax_number": "512-805-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41-1347 Kalanianaole Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Waimanalo",
            "state": "HI",
            "postal_code": "967951297",
            "country_code": "US",
            "telephone_number": "808-259-7948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "ANGELA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buda, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.