Individual provider Active NPI

Natalya A Yantovsky, DMD

  • General Practice Dentistry
  • Pittsfield, MA
National Provider Identifier
1205859196
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19118 Issued in MA
Practice address
188 East St Ste 202
Pittsfield, MA 01201-5362
Phone
(413) 447-7600
Fax
(413) 447-7600
NPI assigned
Jul 25, 2006
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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 19118 MA Primary

Addresses

Primary practice location

188 East St Ste 202
Pittsfield, MA 01201-5362

Mailing address

188 East St Ste 202
Pittsfield, MA 01201-5362
Phone (413) 447-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150605000271 MA Order and Referring Only - DentistPractitioner - Dentist 2567783384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19118MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Natalya Yantovsky DMD General Practice CurrentSince Nov 8, 2020 Accepting new patients

Locations

188 East St
Ste 202
Pittsfield, MA 01201
Phone (413) 447-7600

48 Elm St
Pittsfield, MA 01201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1205859196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 EAST ST STE 202",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015362",
            "telephone_number": "413-447-7600",
            "fax_number": "413-447-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 EAST ST STE 202",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015362",
            "telephone_number": "413-447-7600",
            "fax_number": "413-447-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANTOVSKY",
        "first_name": "NATALYA",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.