Individual provider Active NPI

Tong Yang, DMD

  • General Practice Dentistry
  • Gulfport, MS
National Provider Identifier
1427655901
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4494-25 Issued in MS
Practice address
9231 Old Lorraine Rd
Gulfport, MS 39503-6060
Phone
(228) 604-2445
NPI assigned
Oct 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9724 SC
General Practice Dentistry 1223G0001X 4494-25 MS Primary

Addresses

Primary practice location

9231 Old Lorraine Rd
Gulfport, MS 39503-6060

Mailing address

9231 Old Lorraine Rd
Gulfport, MS 39503-6060
Phone (769) 226-1052

Other practice location 1

205 Carolina Ave
Moncks Corner, SC 29461-3736
Phone (843) 761-8720

Other practice location 2

2070 Northbrook Blvd Ste A12
North Charleston, SC 29406-9262
Phone (843) 553-7827

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
4494-25MSMDGeneral Practice Dentistry
9724SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Rivers Dental Assoc Inc General Practice Past Accepting new patients
Lake Moultrie Dental LLC PastSince Oct 11, 2020 Accepting new patients

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1427655901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 OLD LORRAINE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036060",
            "telephone_number": "769-226-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 OLD LORRAINE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036060",
            "telephone_number": "228-604-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Carolina Ave",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613736",
            "country_code": "US",
            "telephone_number": "843-761-8720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2070 Northbrook Blvd Ste A12",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069262",
            "country_code": "US",
            "telephone_number": "843-553-7827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "TONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9724",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4494-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.