Tetyana Pohorletska, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010053 Issued in CT

Practice address

65 Glenbrook Rd
Apt. 7E
Stamford, CT 06902-2970

Phone

(203) 517-9507

NPI assigned

Sep 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Vision,PC

  dba Family Dentistry of Derby

  • General Practice Dentistry
  • Derby, CT
  • NPI 1205563822
  NPD Authorized official
• Tetyana Pohorletska Andassociates, Inc.

  • General Practice Dentistry
  • Bridgeport, CT
  • NPI 1871863613
  NPD (past) Authorized official

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1306179213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GLENBROOK RD",
            "address_2": "APT. 7E",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022970",
            "telephone_number": "203-517-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GLENBROOK RD",
            "address_2": "APT. 7E",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022970",
            "telephone_number": "203-517-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHORLETSKA",
        "first_name": "TETYANA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plenish Nutrition
• PM Counseling Services, LLC
• Augusto H Podesta, MD
• Karen Poggi, SLP
• Irina K Pogosian, DDS
• Julio Polanco Taveras
• Joseph Louis Poletsky, MSED, ATC
• Hannah Pollack, LCSW
• Kelly Pombo, PT
• Erica Pomerantz, PSY.D.

• General Practice Dentistry in Stamford, CT
• Providers in Stamford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.