Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952868812 Individual Practitioner Male Practitioner

Dr. Peter Ziyao Zhao , DDS

Dentist - Endodontics • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Dr. Peter Zhao, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Flushing, NY. Practice services are available at 4125 KISSENA BLVD STE 117 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4125 Kissena Blvd Ste 117

Flushing, NY 113553150

Telephone 7183219700
Associated Practice Facility / Clinic
🏢 Tooth Fairy Endodontics, P.c. Facility NPI 1497313241

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Flushing, NY (503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-28
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License NY 061252

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Eugenia Yang , DMD

Dentist - Endodontics

NPI 1740545706

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 28, 2025

Registered at 4125 KISSENA BLVD STE 117, FLUSHING, NY 113553150 (Tel: 7183219700)

📍
Updated Business Mailing Address October 28, 2025

Registered at 4125 KISSENA BLVD STE 117, FLUSHING, NY 113553150 (Tel: 7183219700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2025

Dentist (License #061252 in NY)

NPI Profile Active February 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2019

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611197 (Tel: 8587330529)

📍
Updated Business Mailing Address February 27, 2019

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611197

👤
Provider Name / Credentials Updated February 27, 2019

Recorded as PETER ZHAO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 27, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952868812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2019
Last Update: October 28, 2025
Sole Proprietor: Yes

Mailing Address

4125 Kissena Blvd Ste 117

Flushing, NY 113553150

Phone: 7183219700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.