Active NPI
Igor Chikunov, D.D.S.
- Prosthodontics
- New York, NY
National Provider Identifier
1386760338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 051905
- Practice address
- 54 Warren St
New York, NY 10007-1078 - Phone
- (212) 561-5303
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 051905 | NY | Primary |
Addresses
Primary practice location
54 Warren St
New York, NY 10007-1078
Mailing address
6155 98TH St Apt 11K
Rego Park, NY 11374-1438
Phone (718) 760-2221
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256428800000",
"number": "1386760338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6155 98TH ST APT 11K",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741438",
"telephone_number": "718-760-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 WARREN ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071078",
"telephone_number": "212-561-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIKUNOV",
"first_name": "IGOR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2009-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "051905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.