Yin Yin Tan, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

0512931 Issued in NY

Practice address

4260 Main St
Suite 2J
Flushing, NY 11355-4741

Phone

(718) 461-4678

Fax

(718) 461-2177

NPI assigned

Dec 9, 2006

Last updated

May 11, 2016By 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 2

Addresses

Other identifiers 1

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

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.

• Kyaw & Tan Dental PC

  • Dental Clinic/Center
  • Flushing, NY
  • NPI 1942842356
  Authorized official Same address or phone

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1326108614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 MAIN ST",
            "address_2": "SUITE 2J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554741",
            "telephone_number": "718-461-4678",
            "fax_number": "718-461-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 MAIN ST",
            "address_2": "SUITE 2J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554741",
            "telephone_number": "718-461-4678",
            "fax_number": "718-461-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "YIN YIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0512931",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02556527",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Tan, O.D.
• Qun Ying Tan, MS. ED.
• Samuel Tan
• Wu Tan, MD
• Xin Tan, M.D.
• Alan Tang, PA
• Chin C Tang, M.D.
• Dennis Chao Tang
• Ho Yin Dominic Tang
• Isebelle Ming Tang, RPH

• Dentist in Flushing, NY
• Providers in Flushing, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.