Individual provider Active NPI

Irina Lopatnyuk, DDS

  • Dentist
  • Highland Mills, NY
National Provider Identifier
1184887093
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44997 Issued in NY
Practice address
58 Jefferson St
Highland Mills, NY 10930-2726
Phone
(845) 331-9150
Fax
(845) 331-8846
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44997 NY Primary

Addresses

Primary practice location

58 Jefferson St
Highland Mills, NY 10930-2726

Mailing address

186 Broadway
Port Ewen, NY 12466
Phone (845) 331-9150

Other identifiers 1

IdentifierTypeStateIssuer
02382396MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44997NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentist 4 U Dentist Past Accepting new patients
Cohen Dental PC Dentist PastSince Jun 28, 2020 Accepting new patients

Organizations & group practices 2

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1184887093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BROADWAY",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "12466",
            "telephone_number": "845-331-9150",
            "fax_number": "845-331-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 JEFFERSON ST",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109302726",
            "telephone_number": "845-331-9150",
            "fax_number": "845-331-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPATNYUK",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "44997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.