Individual provider Active NPI

Yelena Simkha, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1043471840
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046185 Issued in NY
Practice address
12 E 41St St
Suite 1002
New York, NY 10017-6221
Phone
(212) 683-4330
Fax
(212) 683-2577
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046185 NY Primary

Addresses

Primary practice location

12 E 41St St
Suite 1002
New York, NY 10017-6221

Mailing address

12 E 41St St
Suite 1002
New York, NY 10017-6221
Phone (212) 683-4330

Other names 1

  • Yelena Simkha Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502000277 NY Practitioner - Oral Surgery 4981903648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046185NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Dentistry PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1043471840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 41ST ST",
            "address_2": "SUITE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176221",
            "telephone_number": "212-683-4330",
            "fax_number": "212-683-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 41ST ST",
            "address_2": "SUITE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176221",
            "telephone_number": "212-683-4330",
            "fax_number": "212-683-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKHA",
        "first_name": "YELENA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "SIMKHA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.