Organization Active NPI

Avalon Dental, PC

  • Dental Clinic/Center
  • Flushing, NY
National Provider Identifier
1679182919
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AVALON DENTAL, PC
Practice address
20103 Northern Blvd FL 1
Flushing, NY 11361-2563
Phone
(646) 436-8470
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Authorized official

Name
Dr. Tommy Ye, DDSNPI 1427404755
Title
President
Phone
(347) 338-8652

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20103 Northern Blvd FL 1
Flushing, NY 11361-2563

Mailing address

20103 Northern Blvd FL 1
Flushing, NY 11361-2563
Phone (347) 338-8652

National Provider Directory

National Provider Directory

Locations

20103 Northern Blvd
#1
Flushing, NY 11361
Phone (347) 472-0318

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1679182919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20103 NORTHERN BLVD FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113612563",
            "telephone_number": "347-338-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20103 NORTHERN BLVD FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113612563",
            "telephone_number": "646-436-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "YE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-338-8652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Dec 13, 2020; 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.