Individual provider Active NPI

Hong NA Yang, DMD

  • Dentist
  • Frederick, MD
National Provider Identifier
1871088070
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17342 Issued in MD
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

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
17342MDMDDentist
DEN4638MEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wobbly Tooth LLC Dentist CurrentSince Oct 1, 2023 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.

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.

Verify at the official NPI Registry.