Individual provider Active NPI

Valeriy Aranbayev, D.D.S.

  • Dentist
  • Corona, NY
National Provider Identifier
1235548769
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50057485 Issued in NY
Practice address
9840 57TH Ave Apt 14M
Corona, NY 11368-3647
Phone
(917) 892-6513
NPI assigned
Aug 8, 2014
Last updated
Aug 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50057485 NY Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150721001777 CT Order and Referring Only - DentistPractitioner - Dentist 8426361387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11213CTMDSocial Worker
50057485NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1235548769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 57TH AVE APT 14M",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683647",
            "telephone_number": "917-892-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 57TH AVE APT 14M",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683647",
            "telephone_number": "917-892-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANBAYEV",
        "first_name": "VALERIY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50057485",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

Verify at the official NPI Registry.