Active NPI
Theodore Yang DDS a Professional Corporation
- Dental Clinic/Center
- Arcadia, CA
National Provider Identifier
1477782829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 49459
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Arcadia, CA
- NPI 1124359716
-
- Dentist
- Arcadia, CA
- NPI 1255122685
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.