Organization Active NPI

Yuan Tian Dental PLLC

  • Dental Clinic/Center
  • Flushing, NY
National Provider Identifier
1144916750
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YUAN TIAN DENTAL PLLC
Practice address
13630 Maple Ave Ste 1H
Flushing, NY 11355-3869
Phone
(718) 799-0779
Fax
(718) 799-0778
NPI assigned
Apr 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Yuan Tian, DMDNPI 1376079640
Title
Dentist
Phone
(718) 799-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13630 Maple Ave Ste 1H
Flushing, NY 11355-3869

Mailing address

13630 Maple Ave Ste 1H
Flushing, NY 11355-3869

National Provider Directory

National Provider Directory

Locations

13630 Maple Ave
Ste 1H
Flushing, NY 11355
Phone (718) 461-2725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1144916750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 1H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 1H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553869",
            "telephone_number": "718-799-0779",
            "fax_number": "718-799-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUAN TIAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "TIAN",
        "authorized_official_first_name": "YUAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-799-0779",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.