Tom Yan DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TOM YAN DDS PC

Doing business as

FiDi Dental

Practice address

125 Maiden LN FL 17B
New York, NY 10038-4960

Phone

(212) 742-2070

NPI assigned

Sep 2, 2022

Last updated

Sep 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wentao Yan, DDSNPI 1225287774

Title

President

Phone

(212) 742-2070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FiDi Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wentao Yan, DDS

  • Dentist
  • New York, NY
  • NPI 1225287774
  NPD Authorized official

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1861112393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIDEN LN FL 17B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384960",
            "telephone_number": "212-742-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIDEN LN FL 17B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384960",
            "telephone_number": "212-742-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM YAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "WENTAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-742-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1225287774",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@80walldental.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Maiden Ln Fl 17B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100384960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FiDi Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Tolone, LPN
• Evelyn Tolston, MD
• Matthew Tolstoy, L.AC
• Seda Serra Tolu, MD
• Hadassah Netanya Turk Tolub
• Allison Tom-Yunger, LCSW, MSED
• Abdallah Tom, MD
• Emily C Tom, PHARMD
• Grace Gen-Yee Tom
• Ian Tom, RD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.