Individual provider Active NPI

Iurii Kalinichenko, DMD

  • General Practice Dentistry
  • South Lebanon, OH
National Provider Identifier
1518816396
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.028650 Issued in OH
Practice address
658 Corwin Nixon Blvd
South Lebanon, OH 45065-1248
Phone
(513) 494-3111
NPI assigned
Jan 26, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.028650 OH Primary

Addresses

Primary practice location

658 Corwin Nixon Blvd
South Lebanon, OH 45065-1248

Mailing address

658 Corwin Nixon Blvd
South Lebanon, OH 45065-1248
Phone (513) 494-3111

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1518816396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 CORWIN NIXON BLVD",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450651248",
            "telephone_number": "513-494-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 CORWIN NIXON BLVD",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450651248",
            "telephone_number": "513-494-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINICHENKO",
        "first_name": "IURII",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.028650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.