Organization Active NPI

Flushing Dental PC

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1922433390
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051047 Issued in NY
Legal business name
FLUSHING DENTAL PC
Practice address
3535 149TH St Ste 203
Flushing, NY 11354-3785
Phone
(718) 460-9440
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Mira Yi
Title
DDS
Phone
(718) 460-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 051047 NY Primary

Addresses

Primary practice location

3535 149TH St Ste 203
Flushing, NY 11354-3785

Mailing address

3535 149TH St Ste 203
Flushing, NY 11354-3785

Other identifiers 1

IdentifierTypeStateIssuer
02495687MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1922433390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 149TH ST STE 203",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 149TH ST STE 203",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543785",
            "telephone_number": "718-460-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "718-460-9440"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02495687",
            "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 4, 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.