Organization Active NPI

Vadim Goldshteyn DDS LLC

  • General Practice Dentistry
  • Portsmouth, OH
National Provider Identifier
1386436764
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on May 20, 2025

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0451580MedicaidOH

Other names 1

  • PORTSMOUTH COMMUNITY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.