Kameliya Chervilov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7038 Issued in OK

Practice address

3621 NW 63Rd St Ste C
Oklahoma City, OK 73116-2041

Phone

(405) 848-8838

Fax

(405) 810-0043

NPI assigned

Jul 2, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dental Boutique PLLC

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1922643543
  NPD Authorized official
• Sleep Well Oklahoma LLC

  • Public Health Dentistry
  • Oklahoma City, OK
  • NPI 1497490965
  NPD Authorized official
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1447746565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 NW 63RD ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162041",
            "telephone_number": "405-848-8838",
            "fax_number": "405-810-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 NW 63RD ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162041",
            "telephone_number": "405-848-8838",
            "fax_number": "405-810-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERVILOV",
        "first_name": "KAMELIYA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Leigh Cherry-Martinez, PTA
• Amanda S Cherry
• Cheryl E Cherry
• Jessica Ruth Cherry
• Sophia Leigh-Anne Cherry, DO
• Chesapeake Dental PLLC (Chesapeake Health Center)
• Abanna Tanisha Cheshire
• Kevin M Chessmore, PA
• Srinivaas S Chetlur
• Pramod K Chetty, MD

• Dentist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.