Individual provider Active NPI

Mariya Zlobinskaya, DMD

  • Dentist
  • Coos Bay, OR
National Provider Identifier
1275427288
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12184 Issued in OR
Practice address
215 Curtis Ave
Coos Bay, OR 97420-1619
Phone
(541) 808-6227
NPI assigned
Jun 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D12184 OR Primary

Addresses

Primary practice location

215 Curtis Ave
Coos Bay, OR 97420-1619

Mailing address

215 Curtis Ave
Coos Bay, OR 97420-1619
Phone (541) 808-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20251218000479 OR Order and Referring Only - DentistPractitioner - Dentist 9638664501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12184ORMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1275427288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CURTIS AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201619",
            "telephone_number": "541-808-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CURTIS AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201619",
            "telephone_number": "541-808-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLOBINSKAYA",
        "first_name": "MARIYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D12184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

Verify at the official NPI Registry.