Active NPI
Yeung'S Dental PC
- General Practice Dentistry
- New York, NY
National Provider Identifier
1639347347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 050392
- Legal business name
- YEUNG'S DENTAL PC
- Practice address
- 217 Grand Street
Suite 801
New York, NY 10013 - Phone
- (212) 680-0573
- Fax
- (212) 680-0113
- NPI assigned
- Feb 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Yeung, DDS
- Title
- President
- Phone
- (212) 680-0573
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 049940 | NY | |
| General Practice Dentistry | 1223G0001X | 050392 | NY | Primary |
Addresses
Primary practice location
217 Grand Street
Suite 801
New York, NY 10013
Mailing address
217 Grand St
Suite 801
New York, NY 10013-4223
Phone (212) 680-0573
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02325840 | Medicaid | NY | |
| 02374894 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
217 Grand St
Ste 801
New York, NY 10013
Phone (212) 680-0573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1639347347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 GRAND ST",
"address_2": "SUITE 801",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134223",
"telephone_number": "212-680-0573",
"fax_number": "212-680-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 GRAND STREET",
"address_2": "SUITE 801",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-680-0573",
"fax_number": "212-680-0113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YEUNG'S DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "YEUNG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-680-0573",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "049940",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02325840",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02374894",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.