Active NPI
Sunflower Pediatric Dentistry by Ying an DDS PHD LLC
- Pediatric Dentistry
- Burton, OH
National Provider Identifier
1861214587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SUNFLOWER PEDIATRIC DENTISTRY BY YING AN DDS PHD LLC
- Practice address
- 13801 W Center St Unit 1
Burton, OH 44021 - Phone
- (440) 273-8104
- NPI assigned
- Oct 25, 2024
- Last updated
- Oct 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ying An, DDS PHD
- Title
- Owner
- Phone
- (440) 273-8104
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary |
Addresses
Primary practice location
13801 W Center St Unit 1
Burton, OH 44021
Mailing address
PO Box 428
Burton, OH 44021-0428
Phone (440) 273-8104
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780032045 | Other | OH | NPI |
| 457675 | Medicaid | OH | |
| 30.024747 | Other | OH | DENTAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
13801 W Center St
Unit 1
Burton, OH 44021
Phone (440) 273-8104
Practitioners & affiliated clinicians
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.
-
- Pediatric Dentistry
- Fairlawn, OH
- NPI 1780032045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729814400000",
"number": "1861214587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "BURTON",
"state": "OH",
"postal_code": "440210428",
"telephone_number": "440-273-8104",
"fax_number": "440-273-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 W CENTER ST UNIT 1",
"city": "BURTON",
"state": "OH",
"postal_code": "44021",
"telephone_number": "440-273-8104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNFLOWER PEDIATRIC DENTISTRY BY YING AN DDS PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "AN",
"authorized_official_first_name": "YING",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-273-8104",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS PHD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1780032045",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "457675",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "30.024747",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.