Robert Jae Yang, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D963 Issued in GU

Practice address

744 N Marine Corps Dr Ste 119
Tamuning, GU 96913-4426

Phone

(671) 647-8702

Fax

(671) 647-8704

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1598890741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 N MARINE CORPS DR STE 119",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134426",
            "telephone_number": "671-647-8702",
            "fax_number": "671-647-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 N MARINE CORPS DR STE 119",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134426",
            "telephone_number": "671-647-8702",
            "fax_number": "671-647-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "ROBERT",
        "middle_name": "JAE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GU",
            "license": "D963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "975310",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melliza Young
• Wesley S Youngberg, DR.P.H.

• All providers in Tamuning, GU
• Dentist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.