Kimberly Yang, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-09326 Issued in IA

Practice address

2215 Edgewood Rd SW Ste 1
Cedar Rapids, IA 52404-4734

Phone

(319) 409-5950

Fax

(319) 409-5949

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1497200612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 EDGEWOOD RD SW STE 1",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044734",
            "telephone_number": "319-409-5950",
            "fax_number": "319-409-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 EDGEWOOD RD SW STE 1",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044734",
            "telephone_number": "319-409-5950",
            "fax_number": "319-409-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcy Dalene Wymer, MA, CCC-SLP
• Charles Xander, LMHC
• Alice Xu
• Fadi Yacoub, MD
• Michelle M. Yanecek
• Xiaoxi Yang, MD
• Autum Yarger, LMSW, MPH
• Jarrod Alan Yates, D.O.
• Ashleigh Yearde, LCSWA, LMSW, PH.D.
• Ashley Yearous, PT, DPT

• Dentist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.