Active NPI
Xudong Yang, DDS
- Dentist
- Salinas, CA
National Provider Identifier
1487812848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56769
- Practice address
- 780 E Romie LN Ste E
Salinas, CA 93901-4223 - Phone
- (617) 642-9164
- NPI assigned
- Jun 1, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 56769 | CA | Primary |
| Dentist | 122300000X | 22030 | MA |
Addresses
Primary practice location
780 E Romie LN Ste E
Salinas, CA 93901-4223
Mailing address
780 E Romie LN Ste E
Salinas, CA 93901-4223
Phone (617) 642-9164
Other practice location 1
188 Longwood Ave
Rm 107
Boston, MA 02115-5819
Phone (617) 642-9164
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 |
|---|---|---|---|
| 56769 | CA | MD | Dentist |
| 22030 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald C K Jew DDS Inc | Past | Accepting new patients | |
| Darren Machule DMD PHD | 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 and National Provider Directory roles.
-
- Endodontics
- San Francisco, CA
- NPI 1912098468
-
- Endodontics
- San Francisco, CA
- NPI 1295808871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1487812848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 E ROMIE LN STE E",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014223",
"telephone_number": "617-642-9164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 E ROMIE LN STE E",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014223",
"telephone_number": "617-642-9164"
}
],
"practiceLocations": [
{
"address_1": "188 Longwood Ave",
"address_2": "Rm 107",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155819",
"country_code": "US",
"telephone_number": "617-642-9164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "XUDONG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-01",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56769",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "22030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.