Active NPI
Mishel Yoshuva, DDS
- Dentist
- Bridgeport, CT
National Provider Identifier
1033790621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062845-01
- Practice address
- 1023 Main St
Bridgeport, CT 06604-4221 - Phone
- (203) 367-0400
- NPI assigned
- Apr 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 062845-01 | NY | Primary |
| Dentist | 122300000X | 13519 | CT |
Addresses
Primary practice location
1023 Main St
Bridgeport, CT 06604-4221
Mailing address
7325 173Rd St
Fresh Meadows, NY 11366-1429
Phone (917) 400-0930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062845-01 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1033790621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7325 173RD ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661429",
"telephone_number": "917-400-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066044221",
"telephone_number": "203-367-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOSHUVA",
"first_name": "MISHEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-15",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062845-01",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CT",
"license": "13519",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.