Yangddspllc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9853 Issued in NC

Legal business name

YANGDDSPLLC

Practice address

2221 Deer Meadows Dr
Waxhaw, NC 28173-7265

Phone

(980) 202-5696

Fax

(980) 434-0504

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mengchi Steven Yang

Title

Manage Member

Phone

99802025696

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1447792189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 DEER MEADOWS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737265",
            "telephone_number": "980-202-5696",
            "fax_number": "980-434-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 DEER MEADOWS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737265",
            "telephone_number": "980-202-5696",
            "fax_number": "980-434-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANGDDSPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "MENGCHI",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGE MEMBER",
        "authorized_official_telephone_number": "99802025696",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "9853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LIC#",
            "identifier": "9853",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Charlene Willis, RRT
• Melissa Marie Winzek, PT
• Douglas Andrew Wolfe, DDS
• Sarah Woodlief, OTR
• Ruth Joan Yablon, MS
• Deepthi Potluri Yarlagadda, MS,RD
• Brittany Young, PA-C
• Shyla S Young, FNP
• Zetapuppis and Pinecone PLLC
• Colleen Barbara Zickert

• Dental Clinic/Center in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.