Individual provider Active NPI

Jason M. Yang, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Langhorne, PA
National Provider Identifier
1710365010
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS040413 Issued in PA
Practice address
310 Middletown Blvd Ste 202
Langhorne, PA 19047-3203
Phone
(215) 757-0864
NPI assigned
May 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DS040413 PA Primary

Addresses

Primary practice location

310 Middletown Blvd Ste 202
Langhorne, PA 19047-3203

Mailing address

310 Middletown Blvd Ste 202
Langhorne, PA 19047-3203
Phone (215) 757-0864

Other practice location 1

53 Cambridge Ln
Newtown, PA 18940-3326
Phone (215) 860-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150709002364 PA Order and Referring Only - DentistPractitioner - Dentist 6901118538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Plus Plus Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Gus S. Russo DDS PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1710365010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MIDDLETOWN BLVD STE 202",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473203",
            "telephone_number": "215-757-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MIDDLETOWN BLVD STE 202",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473203",
            "telephone_number": "215-757-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Cambridge Ln",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189403326",
            "country_code": "US",
            "telephone_number": "215-860-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "JASON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS040413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.