Yang Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YANG DENTAL CORP

Doing business as

Page Street Dental Care Office of Leo Yang, DDS &Kimberly Brasil RDHAP

Practice address

7 Page St
Cotati, CA 94931-4314

Phone

(707) 665-6122

Fax

(707) 262-9146

NPI assigned

Jun 27, 2022

Last updated

Jun 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Brasil, RDHAPNPI 1083112221

Title

Owner/Rdhap

Phone

(707) 548-2789

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Page Street Dental Care Office of Leo Yang, DDS &Kimberly Brasil RDHAP Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Ann Brasil

  • Dental Hygienist
  • Penngrove, CA
  • NPI 1083112221
  NPD Authorized official

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1396477485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PAGE ST",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949314314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PAGE ST",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949314314",
            "telephone_number": "707-665-6122",
            "fax_number": "707-262-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANG DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "BRASIL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/RDHAP",
        "authorized_official_telephone_number": "707-548-2789",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS",
            "identifier": "1780800383",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDHAP",
            "identifier": "1083112221",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Page Street Dental Care Office of Leo Yang, DDS &Kimberly Brasil RDHAP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Page Street Dental Care Office of Leo Yang, DDS &Kimberly Brasil RDHAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Wang, PHARMD
• Katie Josephine Werle, M.S. CCC SLP
• Candice Starr White, TC
• Windows Health Corporation (Windows Health Clinic)
• Scot Trent Wood
• Krystalmarie Cox Zavala
• Jazmin Julia Zelaya-Peo, DDS
• Matthew B Zwerling, M.D.

• General Practice Dentistry in Cotati, CA
• Providers in Cotati, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.