Individual provider Active NPI

Pei Hung Shen

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1649037250
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
064946 Issued in NY
Practice address
4211 Kissena Blvd Apt 1D
Flushing, NY 11355-3221
Phone
(718) 353-5504
NPI assigned
Feb 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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 064946 NY Primary

Addresses

Primary practice location

4211 Kissena Blvd Apt 1D
Flushing, NY 11355-3221

Mailing address

4211 Kissena Blvd Apt 1D
Flushing, NY 11355-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
064946NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
HC Dental P.C. CurrentSince Aug 17, 2025 Accepting new patients
Empress Dental Service PLLC General Practice PastSince Aug 17, 2025 Accepting new patients

Locations

4211 Kissena Blvd
Apt 1D
Flushing, NY 11355
Phone (718) 353-5504

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1649037250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 KISSENA BLVD APT 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 KISSENA BLVD APT 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553221",
            "telephone_number": "718-353-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "PEI HUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064946",
            "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 Aug 14, 2025; 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.