I. Prodanova DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

I. PRODANOVA DDS, PC

Practice address

1 W 34TH St RM 903
New York, NY 10001-2229

Phone

(212) 216-9090

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Iordanka ProdanovaNPI 1932220498

Title

Dentist

Phone

(212) 216-9092

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iordanka P Prodanova, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1932220498
  NPD Authorized official

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1396376356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W 97TH ST APT 2N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256207",
            "telephone_number": "646-387-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W 34TH ST RM 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012229",
            "telephone_number": "212-216-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. PRODANOVA DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "PRODANOVA",
        "authorized_official_first_name": "IORDANKA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-216-9092",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.