Active NPI
Vladimir Nazarov PC
- Dental Clinic/Center
- Pittsfield, MA
National Provider Identifier
1043881170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- VLADIMIR NAZAROV PC
- Practice address
- 205 South St
Pittsfield, MA 01201-6837 - Phone
- (413) 443-9013
- NPI assigned
- Jul 9, 2021
- Last updated
- Oct 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vladimir Nazarov, DMD
- Title
- Dentist
- Phone
- (202) 909-5272
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
205 South St
Pittsfield, MA 01201-6837
Mailing address
205 South St
Pittsfield, MA 01201-6837
Phone (413) 443-9013
Other practice location 1
205 South St
Pittsfield, MA 01201-6837
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Pittsfield, MA
- NPI 1770011819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1043881170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016837",
"telephone_number": "413-443-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016837",
"telephone_number": "413-443-9013"
}
],
"practiceLocations": [
{
"address_1": "205 South St",
"address_purpose": "LOCATION",
"city": "Pittsfield",
"state": "MA",
"postal_code": "012016837",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VLADIMIR NAZAROV PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-09",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "NAZAROV",
"authorized_official_first_name": "VLADIMIR",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "202-909-5272",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.