Active NPI
Sang Bin Byeon
- Prosthodontics
- Rockville, MD
National Provider Identifier
1518604545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 18322
- Practice address
- 9601 Blackwell Rd Ste 310
Rockville, MD 20850-6710 - Phone
- (240) 428-7311
- NPI assigned
- May 20, 2022
- Last updated
- May 30, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859531 | MA | MD | Dentist |
| 18322 | MD | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jae Y Jang DMD LLC | Current | 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.