Dmitri Tartsakov

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6131 N 27TH Ave Apt 2014
Phoenix, AZ 85017-1756

Phone

(602) 805-7305

NPI assigned

Sep 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: dmitri.tartsakov.p2@direct.ucpnyc.nextgenshare.com

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1669957551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 N 27TH AVE APT 2014",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 N 27TH AVE APT 2014",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171756",
            "telephone_number": "602-805-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTSAKOV",
        "first_name": "DMITRI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyelle Louise Tarlowski
• Mary Margaret Tarpey, OTR-L
• Loranda Marie Tarrant, RN
• Claire J Tarte, PHD
• Megan Tartell
• Katharine Tarver, ND
• Brendan Tarzia, DO
• Yanka Diane Tasev, RN065907
• Donna Tash, CNM
• Hillary Dawn Tash, FNP

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.