Jingru Yan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33412 Issued in TX

Practice address

20501 Katy Fwy Ste 104
Katy, TX 77450-1939

Phone

(281) 578-0211

NPI assigned

Aug 14, 2017

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

Practice roles

Locations

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.

• Nottingham Dental PLLC

  • Dental Clinic/Center
  • Katy, TX
  • NPI 1528626462
  NPD Authorized official
• Delight Dental

  • Dentist
  • Sugarland, TX
  • NPI 1639453368
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1972028769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20501 KATY FWY STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20501 KATY FWY STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501939",
            "telephone_number": "281-578-0211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3524 Highway 6",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774784401",
            "country_code": "US",
            "telephone_number": "281-565-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "JINGRU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101895",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ya'S Partners Corporation
• Abeer Kim Yacoub
• Yahweh Skilled Nursing and Rehabilitation Facility
• Yaku Wellness
• Dvora Yampuler, LPC
• Linda Siti Yancey, M.D.
• Jeremiah Yang
• Junghwa Yang, L.AC.
• Louisa Yang, RPH
• Rachel Yang

• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.