Active NPI
Angie Yau, DMD
- Dentist
- Boston, MA
National Provider Identifier
1942866868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858286
- Practice address
- 145 South St
Boston, MA 02111-2826 - Phone
- (617) 521-6730
- NPI assigned
- May 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DN1858286 | MA | Primary |
Addresses
Primary practice location
145 South St
Boston, MA 02111-2826
Mailing address
11 Granger St
Quincy, MA 02170-1309
Phone (617) 894-5405
Other practice location 1
11 Granger St
Quincy, MA 02170-1309
Phone (617) 894-5405 ext. 61789
Other practice location 2
435 Hancock St
Quincy, MA 02171-2287
Phone (617) 318-3300
Other practice location 3
948 Broadway
Everett, MA 02149-3128
Phone (617) 294-4128
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 |
|---|---|---|---|
| DN1858286 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1942866868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GRANGER ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021701309",
"telephone_number": "617-894-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SOUTH ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021112826",
"telephone_number": "617-521-6730"
}
],
"practiceLocations": [
{
"address_1": "11 Granger St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021701309",
"country_code": "US",
"telephone_number": "617-894-5405 x61789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "435 Hancock St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021712287",
"country_code": "US",
"telephone_number": "617-318-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "948 Broadway",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "MA",
"postal_code": "021493128",
"country_code": "US",
"telephone_number": "617-294-4128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAU",
"first_name": "ANGIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.