FOUR SEASONS DENTAL CARE (NPI# 1386812501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386812501 |
| Entity Type | Organization |
| Organization Name | FOUR SEASONS DENTAL CARE |
| Practice Address |
14340 38th Ave 102 Flushing NY 11354-5759 |
| Practice Telephone | 7187623361 |
| Mailing Telephone | 7187623361 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | DR. CHONGMIN PARK (PRESIDENT) |
| Authorized Official Telephone | 7187623361 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
050303 | NY | Dental Providers |
| Street Address |
14340 38TH AVE 102 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137926 | Kyonghyun Ko | Physical Therapist | 14340 38th Ave, Suite 205, Flushing, NY 11354-5759 | 2006-06-02 |
| 1801124540 | Khk Rehab, Corp | Physical Therapist | 14340 38th Ave, Suite 205, Flushing, NY 11354-5759 | 2009-11-18 |
| 1184950891 | Khk Pt, PC | Physical Therapist | 14340 38th Ave, Suite 204, Flushing, NY 11354-5759 | 2009-10-30 |
| 1194849034 | Chongmin Park | Dentist | 14340 38th Ave, 201, Flushing, NY 11354-5759 | 2007-03-17 |
| 1215019492 | Paul Ko Pt | Internal Medicine | 14340 38th Ave, # 204, Flushing, NY 11354-5759 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586041 | Jonathan P.C. Wu | Dentist | 3916 Prince St Ste M52, Flushing, NY 11354 | 2018-04-23 |
| 1346748571 | Lakay Dental Inc | Dentist | 13820 59th Ave, Flushing, NY 11355-5247 | 2018-01-23 |
| 1336595842 | Christopher M Rong | Dentist | 13511 40th Rd Ste 4e, Flushing, NY 11354-5327 | 2016-05-13 |
| 1861878498 | Karanjit Singh Kamboj | Dentist | 4343 Kissena Blvd Ste 111, Flushing, NY 11355 | 2015-08-05 |
| 1811374622 | Shu's Dental, P.C. | Dentist | 13636 39th Ave Ste 8, Flushing, NY 11354-5576 | 2015-04-30 |
| 1699152660 | Yelena Mikhaylova | Dentist | 195-33 39 Ave, Flushing, NY 11358 | 2015-04-29 |
| 1275941098 | Wennie Sung | Dentist | 4235 Main St Ste 3g, Flushing, NY 11355-3959 | 2014-07-24 |
| 1750709275 | Ukhun Andy Choi | Dentist | 3506 Leavitt St Apt 3h, Flushing, NY 11354-2909 | 2014-04-01 |
| 1417371006 | Brightray Dental | Dentist | 13917 Franklin Ave, Flushing, NY 11355-3303 | 2014-02-18 |
| 1093143364 | Andrew S. Chen | Dentist | 133-36 41 Rd, Suite 1 P, Flushing, NY 11355 | 2013-10-24 |
| 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.