Individual provider Active NPI

Tamara Volkova, DMD

  • Dentist
  • Collegeville, PA
National Provider Identifier
1457492902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS031441L Issued in PA
Practice address
555 2ND Ave Ste D-500
Collegeville, PA 19426-3641
Phone
(610) 409-9370
Fax
(610) 409-9890
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS031441L PA Primary

Addresses

Primary practice location

555 2ND Ave Ste D-500
Collegeville, PA 19426-3641

Mailing address

555 2ND Ave Ste D-500
Collegeville, PA 19426-3641
Phone (610) 409-9370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160311001096 PA Order and Referring Only - DentistPractitioner - Dentist 1254637598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collegeville Dental Center PastSince Dec 9, 2019 Accepting new patients
GD PA Collegeville PLLC PastSince Oct 13, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457492902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 2ND AVE STE D-500",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263641",
            "telephone_number": "610-409-9370",
            "fax_number": "610-409-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 2ND AVE STE D-500",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263641",
            "telephone_number": "610-409-9370",
            "fax_number": "610-409-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKOVA",
        "first_name": "TAMARA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031441L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.