Individual provider Active NPI

Irina Yesina, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1548293012
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048514 Issued in NY
Practice address
711 Nostrand Avenue
Brooklyn, NY 11216-3940
Phone
(718) 778-7600
Fax
(718) 778-7677
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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 048514 NY Primary

Addresses

Primary practice location

711 Nostrand Avenue
Brooklyn, NY 11216-3940

Mailing address

602 Flatbush Ave
C/O Dental Office
Brooklyn, NY 11225
Phone (718) 778-7600

Other identifiers 2

IdentifierTypeStateIssuer
571158184OtherNYTAX I.D
02051009MedicaidNY

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
I20160427000672 NY Order and Referring Only - DentistPractitioner - Dentist 2163721036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048514NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Plus Flatbush Dental Care, P.C. General Practice Past Accepting new patients
Dr. Irina Yesina DDS.PC General Practice 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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1548293012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 FLATBUSH AVE",
            "address_2": "C/O DENTAL OFFICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11225",
            "telephone_number": "718-778-7600",
            "fax_number": "718-778-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NOSTRAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163940",
            "telephone_number": "718-778-7600",
            "fax_number": "718-778-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESINA",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D",
            "identifier": "571158184",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02051009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.