Active NPI
Ashley Y. Ki Dental PC
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1407019417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 048754
- Legal business name
- ASHLEY Y. KI DENTAL PC
- Practice address
- 16410 Northern Blvd
Suite #214
Flushing, NY 11358-2668 - Phone
- (718) 321-7181
- Fax
- (718) 321-7197
- NPI assigned
- Jul 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashley Yonsook Ki, D.D.S.
- Title
- President
- Phone
- (718) 321-7181
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 048754 | NY | Primary |
Addresses
Primary practice location
16410 Northern Blvd
Suite #214
Flushing, NY 11358-2668
Mailing address
16410 Northern Blvd
Suite #214
Flushing, NY 11358-2668
Phone (718) 321-7181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02543180 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
16410 Northern Blvd
Ste 214
Flushing, NY 11358
Phone (718) 321-7181
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Moravia, NY
- NPI 1356409817
-
- Dentist
- Flushing, NY
- NPI 1386850303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1407019417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 NORTHERN BLVD",
"address_2": "SUITE #214",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113582668",
"telephone_number": "718-321-7181",
"fax_number": "718-321-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16410 NORTHERN BLVD",
"address_2": "SUITE #214",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113582668",
"telephone_number": "718-321-7181",
"fax_number": "718-321-7197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHLEY Y. KI DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "KI",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "YONSOOK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-321-7181",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "048754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02543180",
"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 Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.