Active NPI
Min Yang
- Dentist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042703
- Practice address
- 240 S 40TH St
Philadelphia, PA 19104-6030 - Phone
- (857) 277-8308
- NPI assigned
- Apr 11, 2019
- Last updated
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DS042703 | PA | Primary |
Addresses
Primary practice location
240 S 40TH St
Philadelphia, PA 19104-6030
Mailing address
2101 Market St Unit 2303
Philadelphia, PA 19103-1363
Phone (857) 277-8308
Other practice location 1
9245 Rainier Ave S
Seattle, WA 98118-5569
Phone (206) 461-6981
Other practice location 2
9040 Rainier Ave S
Seattle, WA 98118-5000
Phone (206) 723-7221
Other practice location 3
9040 Rainier Ave S
Seattle, WA 98118-5000
Phone (206) 723-7221
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS042703 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainier Beach Dental | Dentist | Past | Accepting new patients |
| Park & Hong, PLLC | Dentist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Seattle, WA
- NPI 1144607847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1457814949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 MARKET ST UNIT 2303",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031363",
"telephone_number": "857-277-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S 40TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191046030",
"telephone_number": "857-277-8308"
}
],
"practiceLocations": [
{
"address_1": "9245 Rainier Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981185569",
"country_code": "US",
"telephone_number": "206-461-6981",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9040 Rainier Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981185000",
"country_code": "US",
"telephone_number": "206-723-7221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9040 Rainier Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981185000",
"country_code": "US",
"telephone_number": "206-723-7221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "MIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"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": "PA",
"license": "DS042703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.