Active NPI
Ying An
- Pediatric Dentistry
- Fairlawn, OH
National Provider Identifier
1780032045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30.024747
- Practice address
- 3523 Commercial Dr
Fairlawn, OH 44333-5107 - Phone
- (330) 668-9977
- NPI assigned
- May 27, 2016
- Last updated
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30.024747 | OH | Primary |
Addresses
Primary practice location
3523 Commercial Dr
Fairlawn, OH 44333-5107
Mailing address
18207 Sherrington Rd
Shaker Heights, OH 44122
Phone (484) 919-2375
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024747 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunflower Pediatric Dentistry by Ying an DDS PHD LLC | Pediatric Dentistry | Current | Accepting new patients |
| Raj Vij DDS Inc | Past | Accepting new patients |
Interoperability endpoints
- yan75558@ehrdirect.uhhospitals.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Burton, OH
- NPI 1861214587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1780032045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18207 SHERRINGTON RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "44122",
"telephone_number": "484-919-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3523 COMMERCIAL DR",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443335107",
"telephone_number": "330-668-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AN",
"first_name": "YING",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30.024747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.