Jing Iris Yang, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D11909 Issued in OR

Practice address

800 NE Tenney Rd Ste B201
Vancouver, WA 98685-2831

Phone

(360) 262-4509

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1942870183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 NE COLONNADE DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247782",
            "telephone_number": "781-864-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE TENNEY RD STE B201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852831",
            "telephone_number": "360-262-4509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4419 SE Woodstock Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972066271",
            "country_code": "US",
            "telephone_number": "503-379-0562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 NW Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303886",
            "country_code": "US",
            "telephone_number": "541-757-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "JING",
        "middle_name": "IRIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE61548777",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D11909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliya Yamov, LMT
• Benjamin Cornell Yan, M.D., PH.D.
• Lacey Yancey, MSW, NBC-HWC
• Irene Yang
• Jennifer W Yang, MD
• Jou Julie Yang, LMHC, LPC, NCC
• Kevin Yang, PHARM.D.
• Ya-Yun Yang, MD
• John M Yankee, DDS
• Sara Yao, MS, OTR/L

• Periodontics in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.