Organization Active NPI

Rosalyn Shkolnikov, DMD, PLLC

Doing business as Northfield Pediatric Dentistry

  • Pediatric Dentistry
  • Denver, CO
National Provider Identifier
1164017117
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ROSALYN SHKOLNIKOV, DMD, PLLC
Doing business as
Northfield Pediatric Dentistry
Practice address
5665 Beeler St Unit 140
Denver, CO 80238-4341
Phone
(720) 577-2844
Fax
(720) 577-2835
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Dr. Rosalyn Shkolnikov, DMDNPI 1548648173
Title
Owner
Phone
(617) 953-4021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5665 Beeler St Unit 140
Denver, CO 80238-4341

Mailing address

5665 Beeler St Unit 140
Denver, CO 80238-4341
Phone (720) 577-2844

Other identifiers 1

IdentifierTypeStateIssuer
9000146740MedicaidCO

Other names 1

  • Northfield Pediatric Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@northfieldpedsdentistry.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

5665 Beeler St
Unit 140
Denver, CO 80238
Phone (720) 577-2844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1164017117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 BEELER ST UNIT 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384341",
            "telephone_number": "720-577-2844",
            "fax_number": "720-577-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 BEELER ST UNIT 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384341",
            "telephone_number": "720-577-2844",
            "fax_number": "720-577-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALYN SHKOLNIKOV, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "SHKOLNIKOV",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-953-4021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000146740",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@northfieldpedsdentistry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5665 Beeler St Unit 140",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802384341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northfield Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.