Individual provider Active NPI

Alan N. Queen, D.D.S.

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1144293424
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039518 Issued in NY
Practice address
4510 Kissena Blvd
#PR2
Flushing, NY 11355-3431
Phone
(718) 461-7106
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039518 NY Primary

Addresses

Primary practice location

4510 Kissena Blvd
#PR2
Flushing, NY 11355-3431

Mailing address

4510 Kissena Blvd
#PR2
Flushing, NY 11355-3431
Phone (718) 461-7106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201002266 NY Order and Referring Only - DentistPractitioner - Dentist 6507160264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039518NYMDSpecialist

Interoperability endpoints

  • Direct secure messaging: alq9009@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144293424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 KISSENA BLVD",
            "address_2": "#PR2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553431",
            "telephone_number": "718-461-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 KISSENA BLVD",
            "address_2": "#PR2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553431",
            "telephone_number": "718-461-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "ALAN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.