Individual provider Active NPI

Mitchell M Yeh, DMD

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1487746475
Registry record updated Oct 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0524241 Issued in NY
Practice address
837 58TH St FL 6
Brooklyn, NY 11220-3662
Phone
(718) 686-9888
Fax
(718) 686-9889
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI23066 NJ
General Practice Dentistry 1223G0001X 0524241 NY Primary

Addresses

Primary practice location

837 58TH St FL 6
Brooklyn, NY 11220-3662

Mailing address

238 Ernston Rd
Parlin, NJ 08859-1947
Phone (732) 553-1313

Other names 1

  • Dr. Ming-CHI M Yeh Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322001477 NY Order and Referring Only - DentistPractitioner - Dentist 0749587541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI23066NJMDGeneral Practice Dentistry
0524241NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliant Dental, PC General Practice Past Accepting new patients
Charles Lu DDS PC Past Accepting new patients

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224892800000",
    "number": "1487746475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 ERNSTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591947",
            "telephone_number": "732-553-1313",
            "fax_number": "732-553-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 58TH ST FL 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203662",
            "telephone_number": "718-686-9888",
            "fax_number": "718-686-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEH",
        "first_name": "MITCHELL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI23066",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0524241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MING-CHI",
            "last_name": "YEH",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.