Individual provider Active NPI

Ekaterina Strong, DMD

  • General Practice Dentistry
  • Burlington, VT
National Provider Identifier
1477966414
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016.0133095 Issued in VT
Practice address
66 Colchester Ave
Burlington, VT 05401-1417
Phone
(802) 862-8348
Fax
(802) 862-6823
NPI assigned
Jun 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 20628 FL
General Practice Dentistry 1223G0001X 016.0133095 VT Primary

Addresses

Primary practice location

66 Colchester Ave
Burlington, VT 05401-1417

Mailing address

301 NE 14TH Ave Apt 405
Hallandale Beach, FL 33009-7442

Other names 1

  • Dr. Ekaterina Nemtsev Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150603002100 FL Order and Referring Only - DentistPractitioner - Dentist 0143541011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 20628FLMDGeneral Practice Dentistry
016.0133095VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Street Dental, PLLC General Practice Current Accepting new patients
Integrative Dental Care CurrentSince Sep 4, 2022 Accepting new patients
Randall a. Miller, DDS, PC General Practice PastSince Sep 4, 2022 Accepting new patients

Locations

66 Colchester Ave
Burlington, VT 05401
Phone (802) 862-8348

Interoperability endpoints

  • Direct secure messaging: ekaterina.hamidzadeh@chslv.eclinicaldirectplus.com

Organizations & group practices 3

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": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1477966414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE 14TH AVE APT 405",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011417",
            "telephone_number": "802-862-8348",
            "fax_number": "802-862-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONG",
        "first_name": "EKATERINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-07",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20628",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0133095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EKATERINA",
            "last_name": "NEMTSEV",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.