Active NPI
Alvyn Yeoh, DDS
- General Practice Dentistry
- Southport, CT
National Provider Identifier
1811203458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 010749
- Practice address
- 8 John St
Southport, CT 06890-1437 - Phone
- (203) 319-1300
- NPI assigned
- Aug 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 055796 | NY | |
| General Practice Dentistry | 1223G0001X | 010749 | CT | Primary |
Addresses
Primary practice location
8 John St
Southport, CT 06890-1437
Mailing address
8 John St
Southport, CT 06890-1437
Phone (203) 319-1300
Other practice location 1
2016 Bronxdale Ave Ste 303
Bronx, NY 10462-3389
Phone (718) 792-7972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Community Health Center, Inc. | Current | Accepting new patients | |
| Bronx Park Dental PC | General Practice | Past | Accepting new patients |
Locations
260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236
2016 Bronxdale Ave
Ste 303
Bronx, NY 10462
Phone (718) 792-7972
2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800
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.
-
- Clinic/Center
- Bronx, NY
- NPI 1437255155
-
- General Practice Dentistry
- Bronx, NY
- NPI 1770718504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811203458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 JOHN ST",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901437",
"telephone_number": "203-319-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 JOHN ST",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901437",
"telephone_number": "203-319-1300"
}
],
"practiceLocations": [
{
"address_1": "2016 Bronxdale Ave Ste 303",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104623389",
"country_code": "US",
"telephone_number": "718-792-7972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEOH",
"first_name": "ALVYN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "055796",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "010749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.