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

Q: What is Jae Yang's NPI number?

The NPI number for Jae Yang is 1629417902. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Q: What is Jae Yang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jae Yang was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(505) 843-7172

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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 7

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

DR. DAVID OPACK D.D.S

Dentist (General Practice)