Bobby Yang DDS, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D06519 Issued in AZ

Legal business name

BOBBY YANG DDS, LLC

Doing business as

My Kidz Dentist-Central

Practice address

1728 W Glendale Ave Ste 305
Phoenix, AZ 85021-8864

Phone

(602) 995-7336

Fax

(602) 995-2665

NPI assigned

Mar 14, 2016

Last updated

Mar 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Yang, DDSNPI 1598828097

Title

Owner

Phone

(602) 743-5642

Specialties & licenses 1

Addresses

Other names 1

• My Kidz Dentist-Central Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bobby Yang, D.D.S.

  • Pediatric Dentistry
  • Phoenix, AZ
  • NPI 1598828097
  Authorized official Same address or phone

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1649631953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W GLENDALE AVE STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218864",
            "telephone_number": "602-995-7336",
            "fax_number": "602-995-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 W GLENDALE AVE STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218864",
            "telephone_number": "602-995-7336",
            "fax_number": "602-995-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY YANG DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-743-5642",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D06519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Kidz Dentist-Central",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bob Mathews Perfect Body System LLC (Perfect Body System)
• Vanessa Bobadilla
• Douglas A Bobb, D.O.
• Brijesh Bobba, MD
• Bobby D Veterans Gateway
• Beth Bobier, CNM
• Dennis Robert Bobik, DPM
• Bianca Boboescu
• Cheryl Diane Bobrik
• David Henry Boca, DDS

• Pediatric Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.