Yijiao Fan, DDS
NPI 1336595057ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Flushing, NY
Dentist, Oral and Maxillofacial Surgery (DDS) in Flushing, New York, licensed in NY, with an NPI issued in May 2016. Enrolled in Medicare as order and referring only - oral surgery.
Overview
| NPI | 1336595057 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | May 11, 2016 |
| Last updated in NPPES | Aug 13, 2022 |
| Certified by provider | Aug 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 062596 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Oral Surgery (NY) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Oral and Maxillofacial Surgery providers in Flushing
- 1902479850
- 1790020584
- 1487447298
- 1871174532
- 1679702575
- 1831682541
- 1306342639
- 1144324617
All Dentist, Oral and Maxillofacial Surgery providers in New York →