Organization Active NPI

Theodore Yang DDS a Professional Corporation

  • Dental Clinic/Center
  • Arcadia, CA
National Provider Identifier
1477782829
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49459 Issued in CA
Legal business name
THEODORE YANG DDS A PROFESSIONAL CORPORATION
Practice address
55 E Live Oak Ave
Arcadia, CA 91006-5234
Phone
(626) 447-6089
Fax
(626) 446-6822
NPI assigned
Jul 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Dr. Theodore Min Yang, DDS
Title
President
Phone
(626) 447-6089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49459 CA Primary

Addresses

Primary practice location

55 E Live Oak Ave
Arcadia, CA 91006-5234

Mailing address

55 E Live Oak Ave
Arcadia, CA 91006-5234
Phone (626) 447-6089

National Provider Directory

National Provider Directory

Locations

55 E Live Oak Ave
Arcadia, CA 91006
Phone (626) 447-6089

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1477782829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065234",
            "telephone_number": "626-447-6089",
            "fax_number": "626-446-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065234",
            "telephone_number": "626-447-6089",
            "fax_number": "626-446-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE YANG DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-447-6089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.