M.Y. Dental Associate P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

M.Y. DENTAL ASSOCIATE P.C.

Doing business as

MY Dental Spa

Practice address

575 Madison Ave Ste 1503
New York, NY 10022-2511

Phone

(212) 935-3212

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mimi YeungNPI 1629287347

Title

President

Phone

(212) 935-3212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MY Dental Spa Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mimi A Yeung, D.D.S

  • General Practice Dentistry
  • New York, NY
  • NPI 1629287347
  NPD Authorized official

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1477138295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MADISON AVE STE 1503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222511",
            "telephone_number": "212-935-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MADISON AVE STE 1503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222511",
            "telephone_number": "212-935-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.Y. DENTAL ASSOCIATE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-935-3212",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DDS LICENSE",
            "identifier": "046258",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.y.dds@mydentalspa.net",
            "affiliation": "N",
            "endpointDescription": "microsoft 365",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "575 Madison Ave Ste 1503",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100222511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MY Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.