Organization Active NPI

Dick and Keira Yang, DMD PLLC

Doing business as Great Smile Dental

  • Dental Clinic/Center
  • Duvall, WA
National Provider Identifier
1831858786
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DICK AND KEIRA YANG, DMD PLLC
Doing business as
Great Smile Dental
Practice address
26425 NE Allen St Ste 102
Duvall, WA 98019-8628
Phone
(425) 788-1551
NPI assigned
Dec 8, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Dr. Dick Yang, DMDNPI 1174043426
Title
Dentist
Phone
(678) 863-2870

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

26425 NE Allen St Ste 102
Duvall, WA 98019-8628

Mailing address

12340 NE 115TH PL Apt 335
Kirkland, WA 98033-4484
Phone (678) 863-2870

Other names 1

  • Great Smile Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1831858786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 NE 115TH PL APT 335",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334484",
            "telephone_number": "678-863-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26425 NE ALLEN ST STE 102",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198628",
            "telephone_number": "425-788-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICK AND KEIRA YANG, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "DICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "678-863-2870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duvall, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.