Active NPI
Vadim Goldshteyn DDS LLC
- General Practice Dentistry
- Portsmouth, OH
National Provider Identifier
1386436764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- VADIM GOLDSHTEYN DDS LLC
- Doing business as
- PORTSMOUTH COMMUNITY DENTAL
- Practice address
- 1013 Coles Blvd
Portsmouth, OH 45662-2204 - Phone
- (220) 710-0200
- NPI assigned
- May 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vadim Goldshteyn
- Title
- Managing Owner
- Phone
- (220) 710-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1013 Coles Blvd
Portsmouth, OH 45662-2204
Mailing address
1013 Coles Blvd
Portsmouth, OH 45662-2204
Phone (220) 710-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0451580 | Medicaid | OH |
Other names 1
- PORTSMOUTH COMMUNITY DENTAL
National Provider Directory
National Provider DirectoryLocations
1013 Coles Blvd
Portsmouth, OH 45662
Phone (220) 710-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1386436764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 COLES BLVD",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622204",
"telephone_number": "220-710-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 COLES BLVD",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622204",
"telephone_number": "220-710-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VADIM GOLDSHTEYN DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "GOLDSHTEYN",
"authorized_official_first_name": "VADIM",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "220-710-0200",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0451580",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PORTSMOUTH COMMUNITY DENTAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.