Aleksey Zelenko, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DGD.8278 Issued in SC

Practice address

2224 Old Furnace Rd
Boiling Springs, SC 29316-5782

Phone

(864) 580-8767

NPI assigned

Jul 26, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Ridge Dental LLC

  • Dental Clinic/Center
  • Boiling Springs, SC
  • NPI 1427766823
  NPD Authorized official
• Dental Professional of South Carolina, P.C.

  • General Practice Dentistry
  • Boiling Springs, SC
  • NPI 1487902342
  NPD (past)

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1306288667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 OLD FURNACE RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165782",
            "telephone_number": "864-580-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 OLD FURNACE RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165782",
            "telephone_number": "864-580-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENKO",
        "first_name": "ALEKSEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Wittman, APRN
• Shamai Aviona Wyatt
• Alexis Young, PA-C
• Kim Young
• Shericka Ciera Young, LPC
• Kelly Renee Zimmerman, AADCP-IP
• Sarrah Marie Zura

• Dentist in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.