Individual provider Active NPI

Michelle Yang

  • Pediatric Dentistry
  • Portland, OR
National Provider Identifier
1366700627
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D10967 Issued in OR
Practice address
11790 SW Barnes Rd Ste 280
Portland, OR 97225-5935
Phone
(503) 626-9700
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D10967 OR Primary

Addresses

Primary practice location

11790 SW Barnes Rd Ste 280
Portland, OR 97225-5935

Mailing address

3027 SE 28TH Ave
Portland, OR 97202-2002
Phone (541) 580-9541

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
D10967ORMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Yang DMD LLC Pediatric Dentistry CurrentSince Nov 24, 2025 Accepting new patients
World of Smiles, Pediatric Dentistry LLC Pediatric Dentistry PastSince Dec 15, 2019 Accepting new patients
Alliance Dental Group Past Accepting new patients
Smile 4 Life, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.yang.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 4

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1366700627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022002",
            "telephone_number": "541-580-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 280",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255935",
            "telephone_number": "503-626-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D10967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.