Active NPI
Geryoung Yang, D.D.S.; Inc
- Preferred Provider Organization
- Sacramento, CA
National Provider Identifier
1770774184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 39500
- Legal business name
- GERYOUNG YANG, D.D.S.; INC
- Practice address
- 1355 Florin Rd Ste 8
Sacramento, CA 95822-4200 - Phone
- (916) 393-4044
- Fax
- (916) 393-4077
- NPI assigned
- Aug 9, 2007
- Last updated
- Aug 9, 2007
- Organization subpart
- Yes
- Parent organization
- GERYOUNG YANG, D.D.S.; INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Geryoung Yang, D.D.S.
- Title
- Owner/President
- Phone
- (916) 393-4044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 39500 | CA | Primary |
Addresses
Primary practice location
1355 Florin Rd Ste 8
Sacramento, CA 95822-4200
Mailing address
1355 Florin Rd Ste 8
Sacramento, CA 95822-4200
Phone (916) 393-4044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B39500-03 | Medicaid | CA | |
| B-39500-02 | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- Geryoung Yang DDS Inc
Locations
1355 Florin Rd
Ste 8
Sacramento, CA 95822
Phone (916) 393-4044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Sacramento, CA
- NPI 1811035207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1770774184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 FLORIN RD STE 8",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958224200",
"telephone_number": "916-393-4044",
"fax_number": "916-393-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 FLORIN RD STE 8",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958224200",
"telephone_number": "916-393-4044",
"fax_number": "916-393-4077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERYOUNG YANG, D.D.S.; INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GERYOUNG YANG, D.D.S.; INC",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "GERYOUNG",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "916-393-4044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": "39500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B39500-03",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B-39500-02",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.