Larisa Tkach, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051565 Issued in NY

Practice address

1560 Broadway Ste 601
New York, NY 10036-2520

Phone

(212) 278-8105

Fax

(212) 278-8297

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New York Midtown Dental, PC

  • Dental Clinic/Center
  • New York, NY
  • NPI 1649800640
  NPD Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1063623650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BROADWAY STE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362520",
            "telephone_number": "212-278-8105",
            "fax_number": "212-278-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BROADWAY STE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362520",
            "telephone_number": "212-278-8105",
            "fax_number": "212-278-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACH",
        "first_name": "LARISA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TJB Chiropractic PLLC
• TJC Podiatry
• Olivia Tjernberg, LMSW
• Fong Lin Tjhia, PT
• Kari Christine Tjossem, PA-C
• Ludmila Nickolaivna Tkach, SP RPH
• Natalya Tkachenko, M.D.
• Maria Tkachuk
• Maria Gabriela Tkacz, PA-C
• TLC the Laser Center (Northeast) Inc. (TLC Laser Eye Centers Manhattan)

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.