Active NPI
Ting-Wey Yen, D.D.S.
- Prosthodontics
- Long Beach, CA
National Provider Identifier
1891911459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 34017
- Practice address
- 319 Redondo Ave.
Long Beach, CA 90814 - Phone
- (562) 423-7878
- Fax
- (562) 438-7393
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DM034017 | CA | |
| Prosthodontics | 1223P0700X | 34017 | CA | Primary |
Addresses
Primary practice location
319 Redondo Ave.
Long Beach, CA 90814
Mailing address
319 Redondo Ave.
Long Beach, CA 90814
Phone (562) 423-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 15, 2015 through May 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DM034017 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1891911459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 REDONDO AVE.",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90814",
"telephone_number": "562-423-7878",
"fax_number": "562-438-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 REDONDO AVE.",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90814",
"telephone_number": "562-423-7878",
"fax_number": "562-438-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEN",
"first_name": "TING-WEY",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "DM034017",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "34017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.