Individual provider Active NPI

Tommy Ye, D.D.S.

  • General Practice Dentistry
  • Bay Shore, NY
National Provider Identifier
1427404755
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
059113 Issued in NY
Practice address
1701 Sunrise Hwy # C7
Bay Shore, NY 11706-6091
Phone
(631) 666-1440
NPI assigned
May 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 059113 NY Primary

Addresses

Primary practice location

1701 Sunrise Hwy # C7
Bay Shore, NY 11706-6091

Mailing address

20103 Northern Blvd FL 1
Bayside, NY 11361-2563
Phone (347) 472-0318

Other practice location 1

1601 Veterans Memorial Hwy Ste 200
Islandia, NY 11749-1528
Phone (631) 348-7777

Other practice location 2

20103 Northern Blvd Fl 1
Bayside, NY 11361-2563
Phone (347) 472-0318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
059113NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Dental, PC CurrentSince Dec 22, 2020 Accepting new patients
Exceldent Dental of Islandia, LLP General Practice PastSince Aug 2, 2020 Accepting new patients

Locations

20103 Northern Blvd
#1
Flushing, NY 11361
Phone (347) 472-0318

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1427404755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20103 NORTHERN BLVD FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612563",
            "telephone_number": "347-472-0318",
            "fax_number": "347-472-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNRISE HWY # C7",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066091",
            "telephone_number": "631-666-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Veterans Memorial Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Islandia",
            "state": "NY",
            "postal_code": "117491528",
            "country_code": "US",
            "telephone_number": "631-348-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20103 Northern Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113612563",
            "country_code": "US",
            "telephone_number": "347-472-0318",
            "fax_number": "347-472-0319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YE",
        "first_name": "TOMMY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.