Tatyana Yapport, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045521-1 Issued in NY

Practice address

4701 Queens Blvd
Suite 202
Sunnyside, NY 11104-1600

Phone

(718) 706-1717

Fax

(718) 706-7477

NPI assigned

Aug 16, 2005

Last updated

Feb 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunnyside Dental, PC

  • Dental Clinic/Center
  • Sunnyside, NY
  • NPI 1568505360
  Authorized official Same address or phone

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1235121203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE 202",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041600",
            "telephone_number": "718-706-1717",
            "fax_number": "718-706-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE 202",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041600",
            "telephone_number": "718-706-1717",
            "fax_number": "718-706-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAPPORT",
        "first_name": "TATYANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045521-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01501220",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret White
• Carol P Williams, RN
• Richard Winch, D.C.
• Dalya Yaghoubian, PHARM D
• Yevgeniy Yakubov
• Monica Jeongim Yom
• Chung Sun Yun, DDS
• Valerie Stephanie Ziel, LCSW
• Michael Robert Zuckman, M.D.

• General Practice Dentistry in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.