Young Soo Jang I, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030832L Issued in PA

Practice address

7300 Old York Rd
211
Elkins Park, PA 19027-3037

Phone

(215) 782-1606

Fax

(215) 782-1605

NPI assigned

Sep 9, 2009

Last updated

Jun 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ysd & J DMD PC

  dba Dr Jang's Dental Care

  • General Practice Dentistry
  • Melrose Park, PA
  • NPI 1912070251
  Authorized official Same address or phone

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1881927887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 OLD YORK RD",
            "address_2": "211",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273037",
            "telephone_number": "215-782-1606",
            "fax_number": "215-782-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 OLD YORK RD",
            "address_2": "211",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273037",
            "telephone_number": "215-782-1606",
            "fax_number": "215-782-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "YOUNG",
        "middle_name": "SOO",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030832L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph H Jaffe, PSY.D
• Lee Jaffee, D.O.
• James S Lewis MD PC
• Lakisha Renay James, APLC
• Noelle James
• Jeanes Hospital Womens Imaging Center
• Jenine Johnson and Associates LLC
• Annisha C Jenkins
• Jacquelyn Iman Jenkins
• Wanita Cecilia Levia Jenkins, LPC

• General Practice Dentistry in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.