Active NPI
Michael Leo Yang, DDS
- Dentist
- Saint Charles, MO
National Provider Identifier
1780968412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 014666
- Practice address
- 1 Westbury Dr Ste 230
Saint Charles, MO 63301-2561 - Phone
- (636) 947-1057
- Fax
- (636) 723-1627
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 014666 | MO | Primary |
Addresses
Primary practice location
1 Westbury Dr Ste 230
Saint Charles, MO 63301-2561
Mailing address
1 Westbury Dr Ste 230
Saint Charles, MO 63301-2561
Phone (636) 947-1057
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 |
|---|---|---|---|
| 014666 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael L. Yang, D.D.S., LLC | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Saint Charles, MO
- NPI 1912062449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1780968412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WESTBURY DR STE 230",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012561",
"telephone_number": "636-947-1057",
"fax_number": "636-723-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WESTBURY DR STE 230",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012561",
"telephone_number": "636-947-1057",
"fax_number": "636-723-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "MICHAEL",
"middle_name": "LEO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "014666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.