Evelina Davydova, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

060590-01 Issued in NY

Practice address

119 W 57TH St Ste 512
New York, NY 10019-2302

Phone

(347) 702-3052

NPI assigned

May 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1508356197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10849 63RD AVE APT 1P",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751360",
            "telephone_number": "347-702-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 512",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192302",
            "telephone_number": "347-702-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVYDOVA",
        "first_name": "EVELINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "12612",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060590-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijayalakshmi Phanipriyamva Davuluri, PT
• Arkadiy Davydov, PHARM D
• Julia Davydov
• Yuriy Davydov, MD
• Yuriy Davydov, PHARM D
• Isabella Davydova
• Izabella Davydova
• Mayya Davydova, PHARMD
• Nadia Davydova, P.T.
• Yafa Davydova, M.D.

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.