Laurel Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

CA 56681 Issued in CA

Legal business name

LAUREL ENDODONTICS

Practice address

1178 Brittan Ave
San Carlos, CA 94070-3929

Phone

(650) 654-3636

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Jean Yang, D.M.D.NPI 1821129826

Title

President

Phone

(650) 654-3636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Yang, D.M.D.

  • Endodontics
  • San Carlos, CA
  • NPI 1821129826
  NPD (past) Authorized official

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1649521360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 BRITTAN AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703929",
            "telephone_number": "650-654-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 BRITTAN AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703929",
            "telephone_number": "650-654-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-654-3636",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "CA 56681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jonathan Lanzarin IV, CADC-CAS C031100215
• Meredith Larsen, LMFT
• Benedicte Antoinette Last, PSY.D
• Gary Lau, D.D.S.
• Jaime Lau, DDS
• Kim Van Le, MD
• Amy Lee
• Carol Downie Lee, M.F.T.
• Caroline Sun Lee, MA, CCC-SLP
• Jenny Inchin Lee, M.D.

• Endodontics in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.