Individual provider Active NPI

Stephanie M Yang, DDS

  • Pediatric Dentistry
  • South Riding, VA
National Provider Identifier
1497877328
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401415996 Issued in VA
Practice address
25055 Riding PLZ Ste 240
South Riding, VA 20152-5920
Phone
(703) 542-3545
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401415996 VA Primary

Addresses

Primary practice location

25055 Riding PLZ Ste 240
South Riding, VA 20152-5920

Mailing address

25055 Riding PLZ Ste 240
South Riding, VA 20152-5920
Phone (703) 542-3545

Other practice location 1

9742 Katy Fwy Ste 500
Houston, TX 77055-6218
Phone (713) 464-5437

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

LicenseStateTypeSpecialty
0401415996VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Houston Pediatric Dentistry-Conroe PLLC Pediatric Dentistry Past Accepting new patients
Bunker Hill Pediatric Dentistry, PLLC Pediatric Dentistry Past Accepting new patients
Pediatric Dentistry of South Riding Pediatric Dentistry Past Accepting new patients

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1497877328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ STE 240",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201525920",
            "telephone_number": "703-542-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ STE 240",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201525920",
            "telephone_number": "703-542-3545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9742 Katy Fwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770556218",
            "country_code": "US",
            "telephone_number": "713-464-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401415996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Riding, VA

Sources for this page

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

Verify at the official NPI Registry.