Active NPI
David Mao, D.D.S., P.H.D.
- Periodontics
- Flushing, NY
National Provider Identifier
1912099110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 041706
- Practice address
- 4260 Main St
Suite a
Flushing, NY 11355-4741 - Phone
- (718) 321-3755
- Fax
- (718) 762-6718
- NPI assigned
- Sep 28, 2006
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 041706 | NY | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 041706 | NY |
Addresses
Primary practice location
4260 Main St
Suite a
Flushing, NY 11355-4741
Mailing address
4974 175TH PL
Fresh Meadows, NY 11365-1624
Phone (718) 537-5000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3801 | Other | NY | EMPIRE BC/BS |
| 0455131 | Other | NY | AETNA PPO MEDICAL |
| 2038800 | Other | NY | AETNA HMO |
| 1394731 | Other | NY | UNITED CONCORDIA |
| 28680 | Other | NY | DENTAL BENEFIT PROVIDERS |
| SD608 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1912099110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4974 175TH PL",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651624",
"telephone_number": "718-537-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4260 MAIN ST",
"address_2": "SUITE A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113554741",
"telephone_number": "718-321-3755",
"fax_number": "718-762-6718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAO",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S., P.H.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "041706",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "041706",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "DE3801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO MEDICAL",
"identifier": "0455131",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2038800",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1394731",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL BENEFIT PROVIDERS",
"identifier": "28680",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "SD608",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.