Individual provider Active NPI

Igor Pozdniakov, D.M.D.

  • General Practice Dentistry
  • Cohoes, NY
National Provider Identifier
1386179877
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060918-01 Issued in NY
Practice address
55 Mohawk St Ste 206
Cohoes, NY 12047-2600
Phone
(518) 235-3862
NPI assigned
Apr 22, 2017
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019031357 IL
General Practice Dentistry 1223G0001X 060918-01 NY Primary

Addresses

Primary practice location

55 Mohawk St Ste 206
Cohoes, NY 12047-2600

Mailing address

55 Mohawk St Ste 206
Cohoes, NY 12047-2600
Phone (518) 235-3862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019031357ILMDDentist
060918-01NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1386179877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MOHAWK ST STE 206",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472600",
            "telephone_number": "518-235-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MOHAWK ST STE 206",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472600",
            "telephone_number": "518-235-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZDNIAKOV",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-22",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031357",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060918-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohoes, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.