Yelena Samokhvalova, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049114 Issued in NY

Practice address

7919 Flatlands Ave
Brooklyn, NY 11236-3531

Phone

(718) 209-1801

NPI assigned

Jul 28, 2009

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1124259031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E 26TH ST",
            "address_2": "APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352749",
            "telephone_number": "917-362-9292",
            "fax_number": "718-743-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7919 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363531",
            "telephone_number": "718-209-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOKHVALOVA",
        "first_name": "YELENA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Vivienne Samms-Lezama, LCSW
• Ife Samms
• Sandralyn Samms, MSED, CRC, CASAC
• Paulett Pearl Sammy, MS, SAS
• Sammyding LLC
• Mary Charmel Morales Samonte, PT, DPT
• Liudmila Samoukova, RN
• Anna Samoylovich, RPH
• Galina Samoylovich, FNP, M.S. R.N.
• Ananya Sampreeth Rao

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, 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 28, 2009; 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.