Andrey Doroshenko, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

16503 Issued in MD

Practice address

5 Park Center CT Ste 302
Owings Mills, MD 21117-4203

Phone

(410) 356-7799

NPI assigned

Aug 14, 2017

Last updated

Mar 11, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Edward S. Lazer, D.D.S., P.C.

  • Dentist
  • Owings Mills, MD
  • NPI 1669604245
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1417473273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK CENTER CT STE 302",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174203",
            "telephone_number": "410-356-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK CENTER CT STE 302",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174203",
            "telephone_number": "410-356-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROSHENKO",
        "first_name": "ANDREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "16503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dollaz Wellness Center
• Kevin Andrew Domboski, ATC
• Rashawn Donald
• Sheila Donnor
• Sera Dore
• Mansi Dhananjay Doshi, PHARM.D
• Germaine Annick Doue
• Erin Joanne Dougherty, LCPC
• Douglas C. McCorkle M.D., P.a.
• Jennifer G Douglas, CRNP, PMHNP, FNP

• Prosthodontics in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Prosthodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.