Val Kolpakov DDS, MD, PHD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901017937 Issued in MI

Legal business name

VAL KOLPAKOV DDS, MD, PHD, PC

Practice address

1227 N Michigan Ave
Saginaw, MI 48602-4729

Phone

(989) 754-8150

Fax

(989) 754-8152

NPI assigned

Jan 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Val Kolpakov, DDS

Title

Owner

Phone

(989) 754-8150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Denture Care Clinic Other name

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1356320501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024729",
            "telephone_number": "989-754-8150",
            "fax_number": "989-754-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024729",
            "telephone_number": "989-754-8150",
            "fax_number": "989-754-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL KOLPAKOV DDS, MD, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-14",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "KOLPAKOV",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-754-8150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124378124",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denture Care Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chiamaka Vivian Uzoma, MD
• Bryan Francisco Vaca Cartagena, MD
• Erin Vaillancourt, RDN
• Tanner Vaillancourt
• Tonya Vajcner, RBT
• Anthony Michael Valente
• Lynnette M. Valentijn, M.D.
• Katherine Valentine, LLMSW
• Angelo Ernesto Vallejo, LLMSW
• Valley Allergy Clinic, P.C.

• Dentist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.