Individual provider Active NPI

Sang Bin Byeon

  • Prosthodontics
  • Rockville, MD
National Provider Identifier
1518604545
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18322 Issued in MD
Practice address
9601 Blackwell Rd Ste 310
Rockville, MD 20850-6710
Phone
(240) 428-7311
NPI assigned
May 20, 2022
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859531 MA
Prosthodontics 1223P0700X 18322 MD Primary

Addresses

Primary practice location

9601 Blackwell Rd Ste 310
Rockville, MD 20850-6710

Mailing address

9601 Blackwell Rd Ste 310
Rockville, MD 20850-6710
Phone (240) 428-7311

Other practice location 1

Harvard Dental Center
188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

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
DN1859531MAMDDentist
18322MDMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Jae Y Jang DMD LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

9601 Blackwell Rd
Ste 310
Rockville, MD 20850
Phone (240) 428-7311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1518604545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506710",
            "telephone_number": "240-428-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506710",
            "telephone_number": "240-428-7311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Harvard Dental Center",
            "address_2": "188 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02115",
            "country_code": "US",
            "telephone_number": "617-432-1434",
            "fax_number": "617-432-4258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYEON",
        "first_name": "SANG BIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859531",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "18322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.