Individual provider Active NPI

Nataliya Inozemtseva Verona, DDS, PHD

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1134442809
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23959 Issued in TX
Practice address
7703 Floyd Curl Dr
Department of General Dentistry, Uthsc Dental School
San Antonio, TX 78229-3901
Phone
(210) 567-3457
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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 23959 TX Primary

Addresses

Primary practice location

7703 Floyd Curl Dr
Department of General Dentistry, Uthsc Dental School
San Antonio, TX 78229-3901

Mailing address

7703 Floyd Curl Drive
Department of General Dentistry, Uthsc Dental School
San Antonio, TX 78229
Phone (210) 567-3457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 1, 2015 through Jun 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23959TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lara a Perry DDS PA General Practice PastSince Dec 13, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ninozemtseva60961@direct.utmsa.com

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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1134442809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DRIVE",
            "address_2": "DEPARTMENT OF GENERAL DENTISTRY, UTHSC DENTAL SCHOOL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-567-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "address_2": "DEPARTMENT OF GENERAL DENTISTRY, UTHSC DENTAL SCHOOL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-567-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERONA",
        "first_name": "NATALIYA",
        "middle_name": "INOZEMTSEVA",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.