Active NPI
Ben CHI-Shih Yeh, D.D.S.
- Periodontics
- Flushing, NY
National Provider Identifier
1629136452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 036373-1
- Practice address
- 13630 Maple Ave
Suite 2G
Flushing, NY 11355-3865 - Phone
- (718) 762-2740
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 036373-1 | NY | Primary |
Addresses
Primary practice location
13630 Maple Ave
Suite 2G
Flushing, NY 11355-3865
Mailing address
13630 Maple Ave
Suite 2G
Flushing, NY 11355-3865
Phone (718) 762-2740
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160516001397 | NY | Order and Referring Only - Oral Surgery | 1951690809 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036373-1 | NY | MD | Periodontist |
| 036373 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629136452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13630 MAPLE AVE",
"address_2": "SUITE 2G",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553865",
"telephone_number": "718-762-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13630 MAPLE AVE",
"address_2": "SUITE 2G",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553865",
"telephone_number": "718-762-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEH",
"first_name": "BEN",
"middle_name": "CHI-SHIH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "036373-1",
"primary": true
}
],
"identifiers": [],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.