Yuan Tian

Primary specialty

DentistTaxonomy code 122300000X

License

DS041929 Issued in PA

Practice address

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

Phone

(718) 799-0779

Fax

(718) 799-0778

NPI assigned

May 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Yuan Tian Dental PLLC

  • Dental Clinic/Center
  • Flushing, NY
  • NPI 1144916750
  NPD Authorized official

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1376079640",
    "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": [
        {
            "address_1": "7717 138th St",
            "address_2": "57 F",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113674228",
            "country_code": "US",
            "telephone_number": "646-239-5153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIAN",
        "first_name": "YUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041929",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fang Tian, MD
• Jane Tian, MD
• Jing Tian, NURSE PRACTITIONER
• Tan Tian
• Wai Yee Ivy Tian, LCSW
• Tien Cardiology Associate, P.C.
• Tien Physical Therapy PC
• Rizaline Beloro Tien, PT
• Shiang Tien, M.S. SP. ED
• Haroutyoun Tikranian, DC

• 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 Apr 15, 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.