Individual provider Active NPI

Igor N Tikhonov, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Coppell, TX
National Provider Identifier
1457618498
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
32448 Issued in TX
Practice address
600 S Denton Tap Rd Ste 300
Coppell, TX 75019-4533
Phone
(206) 719-8396
Fax
(972) 744-3305
NPI assigned
Apr 16, 2012
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 32448 TX Primary

Addresses

Primary practice location

600 S Denton Tap Rd Ste 300
Coppell, TX 75019-4533

Mailing address

600 S Denton Tap Rd Ste 300
Coppell, TX 75019-4533
Phone (206) 719-8396

Other practice location 1

220 S Denton Tap Rd Ste 101
Coppell, TX 75019-5098
Phone (206) 719-8396

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1457618498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DENTON TAP RD STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194533",
            "telephone_number": "206-719-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DENTON TAP RD STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194533",
            "telephone_number": "206-719-8396",
            "fax_number": "972-744-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S Denton Tap Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750195098",
            "country_code": "US",
            "telephone_number": "206-719-8396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIKHONOV",
        "first_name": "IGOR",
        "middle_name": "N",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "32448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.