Individual provider Active NPI

Jane H Yong, D.D.S.

  • General Practice Dentistry
  • Edmonds, WA
National Provider Identifier
1952432775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006304 Issued in WA
Practice address
21911 76TH Ave W
Suite 201
Edmonds, WA 98026-7903
Phone
(425) 744-0598
Fax
(425) 673-4928
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DE00006304 WA Primary

Addresses

Primary practice location

21911 76TH Ave W
Suite 201
Edmonds, WA 98026-7903

Mailing address

21911 76TH Ave W
Suite 201
Edmonds, WA 98026-7903
Phone (425) 744-0598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160829001317 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1658666722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jane H. Yong D.D.S. Current Accepting new patients

Locations

21911 76th Ave W
Ste 201
Edmonds, WA 98026
Phone (425) 744-0598

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952432775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21911 76TH AVE W",
            "address_2": "SUITE 201",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267903",
            "telephone_number": "425-744-0598",
            "fax_number": "425-673-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21911 76TH AVE W",
            "address_2": "SUITE 201",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267903",
            "telephone_number": "425-744-0598",
            "fax_number": "425-673-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONG",
        "first_name": "JANE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.