Individual provider Active NPI

Hyuk Yang, D.M.D.

  • General Practice Dentistry
  • Bellevue, WA
National Provider Identifier
1497013841
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60183536 Issued in WA
Practice address
12826 SE 40TH LN Ste 201
Bellevue, WA 98006-4276
Phone
(425) 641-5303
Fax
(425) 643-2112
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60183536 WA Primary

Addresses

Primary practice location

12826 SE 40TH LN Ste 201
Bellevue, WA 98006-4276

Mailing address

12826 SE 40TH LN Ste 201
Bellevue, WA 98006-4276
Phone (425) 641-5303

Other practice location 1

7632 S 126th St
Seattle, WA 98178-4835
Phone (206) 772-5673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119000517 AZ Order and Referring Only - DentistPractitioner - Dentist 9830492206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hyuk Yang Professional Services Current Accepting new patients
JJ Dental LLC General Practice Past Accepting new patients
Yes Washington, PLLC General Practice Past Accepting new patients

Locations

18623 Highway 99
Ste 210
Lynnwood, WA 98037
Phone (425) 275-9977

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497013841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064276",
            "telephone_number": "425-641-5303",
            "fax_number": "425-643-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064276",
            "telephone_number": "425-641-5303",
            "fax_number": "425-643-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7632 S 126th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981784835",
            "country_code": "US",
            "telephone_number": "206-772-5673",
            "fax_number": "206-772-5674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "HYUK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60183536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.