Active NPI
Yang Qiu, DDS
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1386145464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 060448
- Practice address
- 771 55TH St
Brooklyn, NY 11220-3210 - Phone
- (718) 438-1718
- NPI assigned
- Feb 23, 2018
- Last updated
- Feb 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 060448 | NY | Primary |
Addresses
Primary practice location
771 55TH St
Brooklyn, NY 11220-3210
Mailing address
3808 Union St Ste 4C
Flushing, NY 11354-5670
Phone (718) 440-6603
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060448 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yang Qiu DDS PLLC | General Practice | Current | Accepting new patients |
Locations
3808 Union St
Ste 4C
Flushing, NY 11354
Phone (718) 440-6603
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1386145464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3808 UNION ST STE 4C",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545670",
"telephone_number": "718-440-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 55TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203210",
"telephone_number": "718-438-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIU",
"first_name": "YANG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-23",
"last_updated": "2022-02-15",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "060448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.