Organization Active NPI

Chia-Hung Yuan DDS P.C.

  • Dentist
  • Flushing, NY
National Provider Identifier
1912337593
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050843 Issued in NY
Legal business name
CHIA-HUNG YUAN DDS P.C.
Practice address
136-20 38TH Ave.,
Suite 5C
Flushing, NY 11354
Phone
(718) 661-1189
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Chia-Hung Yuan, D.D.S
Title
Owner/Dentist
Phone
(646) 522-7483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 050843 NY Primary

Addresses

Primary practice location

136-20 38TH Ave.,
Suite 5C
Flushing, NY 11354

Mailing address

136-20 38TH Ave.,
Suite 5C
Flushing, NY 11354
Phone (718) 661-1189

Other identifiers 1

IdentifierTypeStateIssuer
02856619MedicaidNY

National Provider Directory

National Provider Directory

Locations

13620 38th Ave
Ste 5C
Flushing, NY 11354
Phone (718) 661-1186

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1912337593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-20 38TH AVE.,",
            "address_2": "SUITE 5C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-661-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-20 38TH AVE.,",
            "address_2": "SUITE 5C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-661-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIA-HUNG YUAN DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "CHIA-HUNG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "646-522-7483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "050843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02856619",
            "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 Nov 19, 2013; 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.