Organization Active NPI

Ashley Y. Ki Dental PC

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1407019417
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048754 Issued in NY
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

Updated by the provider on Jul 9, 2008

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.NPI 1356409817
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02543180MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.