Active NPI
Jung Chun Yang, DDS
- Dentist
- Santa Ana, CA
National Provider Identifier
1609861814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30032
- Practice address
- 1002 E 17TH St
Suite D
Santa Ana, CA 92701-2501 - Phone
- (714) 973-0344
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30032 | CA | Primary |
Addresses
Primary practice location
1002 E 17TH St
Suite D
Santa Ana, CA 92701-2501
Mailing address
1002 E 17TH St
Suite D
Santa Ana, CA 92701-2501
Phone (714) 973-0344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B30032-01 | Other | CA | DENTI-CAL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanh Nhu Vo DMD Inc | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1255671145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1609861814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 E 17TH ST",
"address_2": "SUITE D",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012501",
"telephone_number": "714-973-0344",
"fax_number": "714-973-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 E 17TH ST",
"address_2": "SUITE D",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012501",
"telephone_number": "714-973-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "JUNG CHUN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "30032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "B30032-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.