Organization Active NPI

Teresa K. Yang, D.D.S., a Professional Corporation

  • Dentist
  • Santa Monica, CA
National Provider Identifier
1982628459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DX31430 Issued in CA
Legal business name
TERESA K. YANG, D.D.S., A PROFESSIONAL CORPORATION
Practice address
1510 10TH St
Santa Monica, CA 90401-2806
Phone
(310) 458-0501
Fax
(310) 458-0503
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Teresa Kit Yang, D.D.S.NPI 1386020972
Title
President
Phone
(310) 458-0501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DX31430 CA Primary

Addresses

Primary practice location

1510 10TH St
Santa Monica, CA 90401-2806

Mailing address

1510 10TH St
Santa Monica, CA 90401-2806
Phone (310) 458-0501

National Provider Directory

National Provider Directory

Locations

1510 10th St
Santa Monica, CA 90401
Phone (310) 458-0501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982628459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 10TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012806",
            "telephone_number": "310-458-0501",
            "fax_number": "310-458-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 10TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012806",
            "telephone_number": "310-458-0501",
            "fax_number": "310-458-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA K. YANG, D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "KIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-458-0501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DX31430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.