DR. DAVID MAO (NPI# 1912099110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912099110 |
Entity Type | Individual |
Full Name | DR. DAVID MAO |
Credential | D.D.S., P.H.D. |
Practice Address |
4260 Main St Suite A Flushing NY 11355-4741 |
Mailing Address |
4974 175th Pl Fresh Meadows NY 11365-1624 |
Practice Telephone | 7183213755 |
Practice Fax Number | 7187626718 |
Mailing Telephone | 7185375000 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 1223P0300X |
Dentist Specialization: Periodontics |
041706 | NY | Dental Providers |
X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
041706 | NY | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | DENTAL BENEFIT PROVIDERS | 28680 | 01 |
NY | EMPIRE BC/BS | DE3801 | 01 |
NY | OXFORD | SD608 | 01 |
NY | AETNA HMO | 2038800 | 01 |
NY | AETNA PPO MEDICAL | 0455131 | 01 |
NY | UNITED CONCORDIA | 1394731 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942612007 | David Qiyuan Mao | Psychiatry & Neurology | 829 57th Street, 5th Fl, Brooklyn, NY 11220-3677 | 2014-05-23 |
Street Address |
4260 MAIN ST SUITE A |
City | FLUSHING |
State | NY |
Zip Code | 11355-4741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902804826 | Robert J. Leon | Podiatrist | 4260 Main St, Flushing, NY 11355-4741 | 2005-07-13 |
1942842356 | Kyaw & Tan Dental PC | Clinic/Center | 4260 Main St, Flushing, NY 11355-4709 | 2019-10-17 |
1619377033 | Doreen Patterson | Specialist | 4260 Main St, 5m, Flushing, NY 11355-4709 | 2014-09-04 |
1831513530 | Blossom Day Care Center LLC | Clinic/Center | 4260 Main St, Flushing, NY 11355-4709 | 2014-02-15 |
1750682696 | King Chen Hon Mdpc | Internal Medicine | 4260 Main St, Suite # 8, Flushing, NY 11355-4709 | 2010-11-09 |
1962679597 | Epstein Tavroff Leon Dpms LLP | Podiatrist | 4260 Main St, Flushing, NY 11355-4741 | 2008-05-13 |
1205055985 | Yuan Geng | Acupuncturist | 4260 Main St, Suite 12, Flushing, NY 11355-4741 | 2007-04-24 |
1326108614 | Yin Yin Tan | Dentist | 4260 Main St, Suite 2j, Flushing, NY 11355-4741 | 2006-12-09 |
1639272586 | Martin Weinstein | Physical Therapist | 4260 Main St, Suite 1, Flushing, NY 11355-4741 | 2006-09-06 |
1083644512 | Chih-ching Hsu | Surgery | 4260 Main St, Medical Plaza, Suite B, Flushing, NY 11355-4741 | 2006-07-03 |
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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 | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679651533 | Edward S Roth | Dentist | 14445 70th Rd, Flushing, NY 11367-1717 | 2006-11-01 |
1861416273 | Eileen G. Schein | Dentist | 7303 197 Street, Flushing, NY 11366 | 2006-07-27 |
1598095911 | Yoon Euy Hong | Dentist | 14936 Northern Blvd, #201, Flushing, NY 11354-3845 | 2010-01-07 |
1629136452 | Ben Chi-shih Yeh | Dentist | 13630 Maple Ave, Suite 2g, Flushing, NY 11355-3865 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
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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.