Individual provider Active NPI

Mark G Yano, D.D.S.

  • General Practice Dentistry
  • Laguna Niguel, CA
National Provider Identifier
1548322704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35661 Issued in CA
Practice address
30100 Crown Valley Pkwy Ste 42
Laguna Niguel, CA 92677-2041
Phone
(949) 495-6677
Fax
(949) 249-1330
NPI assigned
Dec 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 35661 CA Primary

Addresses

Primary practice location

30100 Crown Valley Pkwy Ste 42
Laguna Niguel, CA 92677-2041

Mailing address

30100 Crown Valley Pkwy Ste 42
Laguna Niguel, CA 92677-2041
Phone (949) 495-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 14, 2016 through Jan 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor & Yano DDS Inc General Practice Past Accepting new patients
Kimberly Ward DDS, Inc. PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 2

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548322704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 CROWN VALLEY PKWY STE 42",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772041",
            "telephone_number": "949-495-6677",
            "fax_number": "949-249-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 CROWN VALLEY PKWY STE 42",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772041",
            "telephone_number": "949-495-6677",
            "fax_number": "949-249-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANO",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.