Active NPI
Flushing Dental PC
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1922433390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 051047
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02495687 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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
- Flushing Chinese Counseling Licensed Clinical Social Work, P.C.
- Flushing Chiropractic & Health, PC
- Flushing Chiropractic P.C.
- Flushing Community Volunteer Ambulance Corps Inc
- Flushing Dental Group
- Flushing Drugs Inc
- Flushing Emergency Practice Plan
- Flushing Endoscopy Center LLC (Soho Ambulatory Surgery Center)
- Flushing Eyecare Optometry PLLC (Msight Eyecare)
- Flushing Family & Medical Practice PC
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.