Organization Active NPI

Robert Yan DDS P.C.

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1902667504
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROBERT YAN DDS P.C.
Practice address
1714 Bath Ave
Brooklyn, NY 11214-4532
Phone
(718) 521-4603
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Dr. Robert Yan, DDSNPI 1053710418
Title
President
Phone
(347) 403-9359

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1714 Bath Ave
Brooklyn, NY 11214-4532

Mailing address

1658 80TH St Apt 1R
Brooklyn, NY 11214-1624
Phone (917) 285-5181

National Provider Directory

National Provider Directory

Locations

1714 Bath Ave
Brooklyn, NY 11214
Phone (718) 256-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1902667504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 80TH ST APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141624",
            "telephone_number": "917-285-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144532",
            "telephone_number": "718-521-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT YAN DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-403-9359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.