Organization Active NPI

Heidi D. Yang, DMD

  • Pediatric Dentistry
  • Louisville, KY
National Provider Identifier
1770858276
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
07451 Issued in KY
Legal business name
HEIDI D. YANG, DMD
Practice address
7807 Shelbyville Rd Ste 203
Louisville, KY 40222
Phone
(502) 426-0705
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Heidi Yang, DMDNPI 1285608422
Title
President
Phone
(502) 426-0705

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 07451 KY Primary

Addresses

Primary practice location

7807 Shelbyville Rd Ste 203
Louisville, KY 40222

Mailing address

7807 Shelbyville Rd Ste 203
Louisville, KY 40222-9000
Phone (502) 426-0705

Other practice location 1

2015 Herr Ln
Suite D
Louisville, KY 40222-6567
Phone (502) 426-0705

Other identifiers 1

IdentifierTypeStateIssuer
60074515MedicaidKY

National Provider Directory

National Provider Directory

Locations

2015 Herr Ln
Ste D
Louisville, KY 40222
Phone (502) 426-0088

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.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1770858276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 SHELBYVILLE RD STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402229000",
            "telephone_number": "502-426-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 SHELBYVILLE RD STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40222",
            "telephone_number": "502-426-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Herr Ln",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402226567",
            "country_code": "US",
            "telephone_number": "502-426-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEIDI D. YANG, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-426-0705",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "07451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60074515",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.