Individual provider Active NPI

Yan Zhang, DMD

  • General Practice Dentistry
  • Lillington, NC
National Provider Identifier
1912646001
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13003 Issued in NC
Practice address
102 S Main St
Lillington, NC 27546-8968
Phone
(910) 893-1096
Fax
(910) 814-1559
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13003 NC Primary

Addresses

Primary practice location

102 S Main St
Lillington, NC 27546-8968

Mailing address

112 Waterpoint Rd
Holly Springs, NC 27540-7300
Phone (859) 489-4827

Other practice location 1

112 Waterpoint Rd
Holly Springs, NC 27540-7300
Phone (859) 489-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914001444 NC Order and Referring Only - DentistPractitioner - Dentist 6709261563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13003NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates VII, DDS PA General Practice PastSince Sep 11, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1912646001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WATERPOINT RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407300",
            "telephone_number": "859-489-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468968",
            "telephone_number": "910-893-1096",
            "fax_number": "910-814-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Waterpoint Rd",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275407300",
            "country_code": "US",
            "telephone_number": "859-489-4827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "YAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.