JAEWOO YANG DDS - NPI 1184513962 - Dentist in Saint Paul, MN

Q: What is Jaewoo Yang's NPI number?

The NPI number for Jaewoo Yang is 1184513962. It was assigned to this individual provider in the NPPES registry on June 28, 2025.

Q: What is Jaewoo Yang's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jaewoo Yang was last updated on June 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jaewoo Yang Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAEWOO YANG DDS (NPI 1184513962) is an individual dentist in Saint Paul, Minnesota, licensed in Minnesota (R907) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184513962

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJAEWOO YANGCredential: DDS

Location Address450 SYNDICATE ST N STE 300Saint Paul, MN 55104-4127

Mailing Address450 Syndicate St N Ste 300Saint Paul, MN 55104-4127 · (651) 254-7373

Phone(651) 254-7373

Sole ProprietorNo

Enumeration DateJune 28, 2025

NPPES CertifiedJune 28, 2025

✔ NPI 1184513962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · R907

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

450 SYNDICATE ST N STE 300, Saint Paul, MN 55104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaewoo Yang Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HODD HEANEY GORMAN DDS

Dentist