Active NPI
Hong NA Yang, DMD
- Dentist
- Frederick, MD
National Provider Identifier
1871088070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17342
- Practice address
- 176 Thomas Johnson Dr Ste 200
Frederick, MD 21702-4532 - Phone
- (361) 947-0228
- NPI assigned
- Jun 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4638 | ME | |
| Dentist | 122300000X | 17342 | MD | Primary |
Addresses
Primary practice location
176 Thomas Johnson Dr Ste 200
Frederick, MD 21702-4532
Mailing address
176 Thomas Johnson Dr Ste 200
Frederick, MD 21702-4532
Phone (301) 663-4012
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 |
|---|---|---|---|
| 17342 | MD | MD | Dentist |
| DEN4638 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wobbly Tooth LLC | Dentist | Current | Accepting new patients |
Locations
176 Thomas Johnson Dr
Ste 200
Frederick, MD 21702
Phone (301) 264-7094
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Rockville, MD
- NPI 1467360990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1871088070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 THOMAS JOHNSON DR STE 200",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024532",
"telephone_number": "301-663-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 THOMAS JOHNSON DR STE 200",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024532",
"telephone_number": "361-947-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "HONG",
"middle_name": "NA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-29",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4638",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.