Kyungsik James Yang

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

058568-1 Issued in NY

Practice address

121 E 60TH St Apt 11a
New York, NY 10022-1198

Phone

(212) 755-4833

NPI assigned

Aug 10, 2015

Last updated

Feb 18, 2020By the provider in NPPES

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

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1619353935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 AVENUE AT PORT IMPERIAL APT 840",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866301",
            "telephone_number": "201-983-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST APT 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221198",
            "telephone_number": "212-755-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KYUNGSIK",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "058568-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny Yang
• Kevin Yang
• Kevin Yang, MD
• Kevin Yang
• Kristen Mae Yang, MD
• Li Qiong Yang, LMT
• Lihua Yang, M.D.
• Liu Qing Yang
• Max Ming-Chu Yang, MD
• Meredith F Yang

• Endodontics in New York, NY
• Providers in New York, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.