Jason Gong Zhang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14632 Issued in NC

Practice address

1625 N Main St
Fuquay Varina, NC 27526-5398

Phone

(919) 396-5802

NPI assigned

Apr 5, 2022

Last updated

May 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Clinic of Maui, Inc.

  dba Malama I Ke Ola Health Center

  • Community Health Clinic/Center
  • Wailuku, HI
  • NPI 1225281793
  NPD
• Community Clinic of Maui, Inc.

  dba Malama I Ke Ola Health Center

  • Federally Qualified Health Center (FQHC)
  • Kahului, HI
  • NPI 1467346916
  NPD
• Community Clinic of Maui, Inc.

  dba Malama I Ke Ola Health Center

  • Community Health Clinic/Center
  • Wailuku, HI
  • NPI 1528042561

  Single Specialty

  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1699416891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N CORCORAN ST UNIT 602",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277015016",
            "telephone_number": "434-327-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265398",
            "telephone_number": "919-396-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JASON",
        "middle_name": "GONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Young, LCAS
• Lee Ann Youngblood
• Zakaria LLC Dba Zakaria Construction
• Kelly Zander, LCMHCA
• Zen Again Therapy and Wellness PLLC
• Brittany Zinkow, M.ED., CCC-SLP
• Jeannie Moseley Zulli, RN, FNP-C, WHNP-BC

• General Practice Dentistry in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.