NPIMap

Organization Active NPI

Empress Dental Service PLLC

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1245401322
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047554 Issued in NY
Legal business name
EMPRESS DENTAL SERVICE PLLC
Practice address
4211 Kissena Blvd Apt 1D
Flushing, NY 11355-3221
Phone
(718) 353-5504
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Richard Yang, D.D.S.NPI 1932127586
Title
Member
Phone
(718) 353-5504

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 047554 NY Primary

Addresses

Primary practice location

4211 Kissena Blvd Apt 1D
Flushing, NY 11355-3221

Mailing address

4211 Kissena Blvd Apt 1D
Flushing, NY 11355-3221
Phone (718) 353-5504

Other identifiers 1

IdentifierTypeStateIssuer
03061492MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1245401322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 KISSENA BLVD APT 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553221",
            "telephone_number": "718-353-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 KISSENA BLVD APT 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553221",
            "telephone_number": "718-353-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESS DENTAL SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-353-5504",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03061492",
            "state": "NY"
        }
    ],
    "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 23, 2012; 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.