Individual provider Active NPI

Dmitriy Yablonskiy

  • Research Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1417861659
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Practice address
4525 Scott Ave
Saint Louis, MO 63110-1030
Phone
(314) 362-1815
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X NU Primary

Addresses

Primary practice location

4525 Scott Ave
Saint Louis, MO 63110-1030

Mailing address

118 Stoneyside LN
Olivette, MO 63132-4124
Phone (314) 482-1674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1417861659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 STONEYSIDE LN",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631324124",
            "telephone_number": "314-482-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SCOTT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101030",
            "telephone_number": "314-362-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABLONSKIY",
        "first_name": "DMITRIY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.