Ran Yan

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859026 Issued in MA

Practice address

700 Essex St Unit 1A1
Lawrence, MA 01841-4396

Phone

(978) 683-2200

NPI assigned

Apr 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Dreams, LLC

  • Dentist
  • Brockton, MA
  • NPI 1144498726
  NPD (past)
• Dental Dreams, LLC

  • General Practice Dentistry
  • Lawrence, MA
  • NPI 1407010531
  NPD (past)

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1699358580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 KENILWORTH RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441062768",
            "telephone_number": "312-753-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ESSEX ST UNIT 1A1",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018414396",
            "telephone_number": "978-683-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "RAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Christine Wood
• Barbara Ann Worsley
• Laura Wright, RD, LDN
• Lanny Y Xue, M.D.
• Pratiksha Yalakkishettar, MD
• Tong Qiu Yan, MD
• Wensheng Winston Yao, O.D.
• Joel Alexander Yeaton, M.S
• Kepei Yi
• Ashley Taylor Young, MS

• Dentist in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.