Radost Nikolova Dimova, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051681 Issued in NY

Practice address

14 Penn Plaza
Suite 400
Nyc, NY 10019

Phone

(212) 563-0095

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104047125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 E. 1ST",
            "address_2": "#2D",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10009",
            "telephone_number": "212-563-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PENN PLAZA",
            "address_2": "SUITE 400",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-563-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOVA",
        "first_name": "RADOST",
        "middle_name": "NIKOLOVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Cwern, MD
• Seyedeh Sharareh Dehghani, MD
• Gregory O. Dejean, DDS (PEDIATRIC DENT)
• Lydia B Denton, CSW
• Dolores M. Desilets, CASAC
• Dr Rosemarie Zimmerman & Dr Andriy Krayniy PLLC
• Dr. Michel and Nicole Moulin
• Jacqueline H Dryfoos, LCSW
• Vanessa Dutchin, NP
• Eli Einbinder, MD

• General Practice Dentistry in Nyc, NY
• Providers in Nyc, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.