Individual provider Active NPI

Yi Julia Yang, DDS, DSC

  • Periodontics
  • Quincy, MA
National Provider Identifier
1649430422
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
9611 Issued in MA
Practice address
24 Adams St
Quincy, MA 02169-2018
Phone
(617) 328-1726
NPI assigned
Jun 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 9611 MA Primary

Addresses

Primary practice location

24 Adams St
Quincy, MA 02169-2018

Mailing address

24 Adams St
Quincy, MA 02169-2018
Phone (617) 328-1726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717001413 MA Order and Referring Only - DentistPractitioner - Dentist 7012220163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9611MAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Yi Julia Yang, DDS, PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1649430422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692018",
            "telephone_number": "617-328-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692018",
            "telephone_number": "617-328-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "YI",
        "middle_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DDS, DSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "9611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.