Yana Nedvetsky, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

30 N Michigan Ave.
Suite 622
Chicago, IL 60602-3821

Phone

(312) 236-8065

Fax

(312) 236-7090

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396942579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE.",
            "address_2": "SUITE 622",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023821",
            "telephone_number": "312-236-8065",
            "fax_number": "312-236-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE.",
            "address_2": "SUITE 622",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023821",
            "telephone_number": "312-236-8065",
            "fax_number": "312-236-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDVETSKY",
        "first_name": "YANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert Nedderman, CRC, LPC
• Arlet Nedeltcheva, MD
• Tovey Jane Nederveld
• Kochuthresia Mathai Nedumgottil, M.D
• Sumol J Nedumgottil, MD
• Susan M Nedza, M.D.
• Alexandra Nee, MD
• James G Nee, M.D.
• Victoria Nee, M.D.
• Neealy Transportation

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.