Individual provider Active NPI

Rachel M Yang, D.D.S.

  • Dentist
  • Port Washington, NY
National Provider Identifier
1578812830
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
057616 Issued in NY
Practice address
85 Old Shore Rd Ste 201
Port Washington, NY 11050-2244
Phone
(516) 430-7730
NPI assigned
Sep 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057616 NY Primary

Addresses

Primary practice location

85 Old Shore Rd Ste 201
Port Washington, NY 11050-2244

Mailing address

85 Old Shore Rd Ste 201
Port Washington, NY 11050-2244
Phone (516) 430-7730

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
057616NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Yang DDS,PC CurrentSince Feb 21, 2021 Accepting new patients

Locations

85 Old Shore Rd
Ste 201
Port Washington, NY 11050
Phone (347) 515-4214

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1578812830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 OLD SHORE RD STE 201",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502244",
            "telephone_number": "516-430-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD SHORE RD STE 201",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502244",
            "telephone_number": "516-430-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.