Lev Korovin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

101363 Issued in CA

Practice address

825 Harbor Blvd
West Sacramento, CA 95691-2201

Phone

(916) 372-8525

Fax

(916) 372-8525

NPI assigned

May 23, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alexander Vilderman Dental, Inc

  • Public Health Dentistry
  • West Sacramento, CA
  • NPI 1700269982
  NPD (past)
• Yuly Vilderman DDS a Dental Corporation

  • General Practice Dentistry
  • West Sacramento, CA
  • NPI 1942375068
  NPD (past)

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1174051049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 RESERVE DR STE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HARBOR BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912201",
            "telephone_number": "916-372-8525",
            "fax_number": "916-372-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROVIN",
        "first_name": "LEV",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Koelln, LCSW, MSSW, BSW
• Kolbeck, Bauer and Stanton Medical Corporation
• Vera Pavlovna Kondrashov
• Seneca Koontz, RN
• Teresa Koro
• Natasha V Kovalenko, RDH
• Arielle C Kravtsov
• Allan Kristiansen, FNP-C
• Bernard David Kung
• Kelsey Kushnir

• Dentist in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.