JAE YANG DDS
NPI 1629417902
Dentist - General Practice in Albuquerque, NM

Active since June 19, 2013PECOS Enrolled
4201 CENTRAL AVE NW STE F1, ALBUQUERQUE, NM 87105(505) 843-7172 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jae Yang Dds NPPES

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

JAE YANG DDS (NPI 1629417902) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (DD3920) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629417902
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAE YANGCredential: DDS
Location Address4201 CENTRAL AVE NW STE F1Albuquerque, NM 87105-1669
Mailing Address350 N Clark St Fl 6Chicago, IL 60654-4712
Sole ProprietorNo
Enumeration DateJune 19, 2013
Last NPPES UpdateAugust 15, 2013
NPI 1629417902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NM · DD3920
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4201 CENTRAL AVE NW STE F1, Albuquerque, NM 87105

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jae 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 87105 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Dentist (General Practice)
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist (General Practice)
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105
Dentist
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629417902, enumerated as an "individual" on June 19, 2013.

The provider is located at 4201 CENTRAL AVE NW STE F1 ALBUQUERQUE, NM 87105 and the phone number is (505) 843-7172.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.