Valeriy Aranbayev, D.D.S.
Individual provider Active NPI Dentist · Corona, NY
NPI 1235548769 · NPPES record last updated Aug 8, 2014
Key facts
- NPI
- 1235548769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 50057485 (NY)
- Practice address
- 9840 57TH Ave Apt 14M
Corona, NY 11368-3647 - Phone
- (917) 892-6513
- NPI assigned
- Aug 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150721001777 | CT | Order and Referring Only - Dentist |
8426361387 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50057485 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50057485 | NY | Yes |
| Dentist | 122300000X | 11213 | CT |
Addresses
Primary practice location
9840 57TH Ave Apt 14M
Corona, NY 11368-3647
Mailing address
9840 57TH Ave Apt 14M
Corona, NY 11368-3647
Phone (917) 892-6513
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.