Individual provider Active NPI

Nazar Shcheglov, D.D.S.

  • Dentist
  • Hopewell Junction, NY
National Provider Identifier
1598775520
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052094-1 Issued in NY
Practice address
129 Clove Branch Rd
Hopewell Junction, NY 12533-5223
Phone
(845) 223-3050
Fax
(845) 223-5350
NPI assigned
Aug 9, 2006
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052094-1 NY Primary

Addresses

Primary practice location

129 Clove Branch Rd
Hopewell Junction, NY 12533-5223

Mailing address

129 Clove Branch Rd
Hopewell Junction, NY 12533-5223
Phone (845) 223-3050

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

State licenses

LicenseStateTypeSpecialty
052094-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1598775520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CLOVE BRANCH RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335223",
            "telephone_number": "845-223-3050",
            "fax_number": "845-223-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CLOVE BRANCH RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335223",
            "telephone_number": "845-223-3050",
            "fax_number": "845-223-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHCHEGLOV",
        "first_name": "NAZAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052094-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.