Yiyu Fang DDS PS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00010661 Issued in WA

Legal business name

YIYU FANG DDS PS

Practice address

1410 N Pittsburg St Ste B2
Kennewick, WA 99336-8211

Phone

(509) 736-2000

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yiyu Jade Fang, D.D.S, PHDNPI 1912192071

Title

President

Phone

(509) 438-3044

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yiyu Jade Fang, D.D.S, PHD

  • Dentist
  • Kennewick, WA
  • NPI 1912192071

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1679768550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N PITTSBURG ST STE B2",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368211",
            "telephone_number": "509-438-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N PITTSBURG ST STE B2",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368211",
            "telephone_number": "509-736-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIYU FANG DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "YIYU",
        "authorized_official_middle_name": "JADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-438-3044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, PHD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00010661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.