Active NPI
Jie Yang, DMD
- Oral and Maxillofacial Radiology Dentistry
- Maple Glen, PA
National Provider Identifier
1720381353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- DS031578L
- Practice address
- 317 Wild Prairie CT
Maple Glen, PA 19002-1125 - Phone
- (215) 908-0781
- NPI assigned
- Dec 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | DS031578L | PA | Primary |
Addresses
Primary practice location
317 Wild Prairie CT
Maple Glen, PA 19002-1125
Mailing address
317 Wild Prairie CT
Maple Glen, PA 19002-1125
Phone (215) 908-0781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS031578L | PA | MD | Oral and Maxillofacial Radiology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1720381353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 WILD PRAIRIE CT",
"city": "MAPLE GLEN",
"state": "PA",
"postal_code": "190021125",
"telephone_number": "215-908-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 WILD PRAIRIE CT",
"city": "MAPLE GLEN",
"state": "PA",
"postal_code": "190021125",
"telephone_number": "215-908-0781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "JIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-21",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "PA",
"license": "DS031578L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Glen, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.