Natalija Kokoreva, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10676 Issued in OR

Practice address

2025 SE Washington St
Milwaukie, OR 97222-7612

Phone

(503) 654-2101

NPI assigned

Aug 26, 2016

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 OR

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

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.

• Natalija Kokoreva DDS LLC

  • Dental Clinic/Center
  • Milwaukie, OR
  • NPI 1134724354
  NPD Authorized official
• Dr. James B Barnum, DMD LLC

  • Preferred Provider Organization
  • Milwaukie, OR
  • NPI 1972919629
  NPD (past)

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1134675580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SE WASHINGTON ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227612",
            "telephone_number": "503-654-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SE WASHINGTON ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227612",
            "telephone_number": "503-654-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKOREVA",
        "first_name": "NATALIJA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Edward Knops, P.T.
• Barry Gowan Knox Jr., CERTIFIED OCCUPATION
• David Glen Knox, M.D.
• Brian D Koch, D.M.D.
• Ronald Eugene Koenig, DMD
• Alexander Kollie, LPN
• Mladen Kolundzija, DPT
• Christopher Alexander Konrad
• Safina Faruk Koreishi, MD
• Liliya Korin

• General Practice Dentistry in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.