Active NPI
Kathy Ying, D.M.D.
- Pediatric Dentistry
- Anaheim, CA
National Provider Identifier
1750569497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 47590
- Practice address
- 408 S Beach Blvd Ste 201
Anaheim, CA 92804-1800 - Phone
- (714) 229-8100
- NPI assigned
- Feb 5, 2008
- Last updated
- Dec 11, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 47590 | CA | Primary |
Addresses
Primary practice location
408 S Beach Blvd Ste 201
Anaheim, CA 92804-1800
Mailing address
408 S Beach Blvd Ste 201
Anaheim, CA 92804-1800
Phone (714) 229-8100
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 |
|---|---|---|---|
| 47590 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathy Ying DMD Inc | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1750569497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 S BEACH BLVD STE 201",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041800",
"telephone_number": "714-229-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S BEACH BLVD STE 201",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041800",
"telephone_number": "714-229-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YING",
"first_name": "KATHY",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "47590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.