WEN TA FAN DDS PC (NPI# 1972521888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972521888 |
| Entity Type | Organization |
| Organization Name | WEN TA FAN DDS PC |
| Practice Address |
4231 Colden St Ste 204 Flushing NY 11355-3981 |
| Practice Telephone | 7185399130 |
| Practice Fax Number | 7185399180 |
| Mailing Telephone | 7185399130 |
| Mailing Fax Number | 7185399180 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WEN TA FAN (PRESIDENT) |
| Authorized Official Telephone | 7155399130 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
047296 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02756412 | 05 |
| Street Address |
4231 COLDEN ST STE 204 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-3981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1194385609 | Charles Jeong Dds | Clinic/Center | 16410 Northern Blvd Ste 102, Flushing, NY 11358-2668 | 2019-06-17 |
| 1619450947 | Sunstar Dental, P. C. | Clinic/Center | 3724 Parsons Blvd Fl 1, Flushing, NY 11354-5830 | 2018-09-12 |
| 1184133340 | Gentle Dental World, P.C. | Clinic/Center | 3530 Francis Lewis Blvd Ste 203, Flushing, NY 11358-1959 | 2017-09-20 |
| 1376928580 | George Xenakis, Dds, Flushing, LLC | Clinic/Center | 14409 Northern Blvd, Flushing, NY 11354-4230 | 2015-07-29 |
| 1235344797 | Ak Dental PC | Clinic/Center | 142-42a 41ave, Flushing, NY 11355 | 2007-05-10 |
| 1972113884 | Ruohong Jiang, Dds, Pllc | Clinic/Center | 41-63 Bowne Street, Flushing, NY 11355-2642 | 2020-08-05 |
| 1821637497 | Lida C. Baquero-barreneche Dds, Pllc | Clinic/Center | 4207 Utopia Pkwy, Flushing, NY 11358-2735 | 2019-12-31 |
| 1942842356 | Kyaw & Tan Dental PC | Clinic/Center | 4260 Main St, Flushing, NY 11355-4709 | 2019-10-17 |
| 1689231326 | Saahil Dental Care | Clinic/Center | 14610 45th Ave, Flushing, NY 11355-2234 | 2019-05-28 |
| Find all providers in FLUSHING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.