Organization Active NPI

Peter Y. Won, D.D.S.,P.C.

  • General Practice Dentistry
  • Bayside, NY
National Provider Identifier
1639210636
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
034517-1 Issued in NY
Legal business name
PETER Y. WON, D.D.S.,P.C.
Practice address
4727 Bell Blvd
Bayside, NY 11361-3333
Phone
(718) 224-4200
Fax
(718) 631-5393
NPI assigned
Feb 11, 2007
Last updated
Jul 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Peter Yee Won, D.D.S.NPI 1558751610
Title
President
Phone
(718) 224-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 034517-1 NY Primary

Addresses

Primary practice location

4727 Bell Blvd
Bayside, NY 11361-3333

Mailing address

4727 Bell Blvd
Bayside, NY 11361-3333
Phone (718) 224-4200

National Provider Directory

National Provider Directory

Locations

4727 Bell Blvd
Bayside, NY 11361
Phone (718) 224-4200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1639210636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613333",
            "telephone_number": "718-224-4200",
            "fax_number": "718-631-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613333",
            "telephone_number": "718-224-4200",
            "fax_number": "718-631-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER Y. WON, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "YEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-224-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.