Yelena Tkachenko-Vaynshteyn, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

048914-1 Issued in NY

Practice address

138 Broadway
Unit#1
Brooklyn, NY 11211-8747

Phone

(718) 599-6050

Fax

(718) 599-6085

NPI assigned

May 14, 2008

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

Other names 1

• Yelena Tkachenko Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1366619785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BROADWAY",
            "address_2": "UNIT#1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118747",
            "telephone_number": "718-599-6050",
            "fax_number": "718-599-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 BROADWAY",
            "address_2": "UNIT#1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118747",
            "telephone_number": "718-599-6050",
            "fax_number": "718-599-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACHENKO-VAYNSHTEYN",
        "first_name": "YELENA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048914-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "TKACHENKO",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.