Individual provider Active NPI

Valentina Krivosheyeva, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1689729634
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046105 Issued in NY
Practice address
680 W 204TH St Apt 1C
New York, NY 10034-3003
Phone
(212) 569-4652
Fax
(212) 569-4644
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 046105 NY Primary

Addresses

Primary practice location

680 W 204TH St Apt 1C
New York, NY 10034-3003

Mailing address

680 W 204TH St Apt 1C
New York, NY 10034-3003
Phone (212) 569-4652

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
046105NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
VK Dental Care PC General Practice CurrentSince Feb 6, 2022 Accepting new patients
Aaa Uptown Star Dental PC General Practice Past Accepting new patients

Locations

680 W 204th St
Apt 1C
New York, NY 10034
Phone (212) 569-4652

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1689729634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W 204TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343003",
            "telephone_number": "212-569-4652",
            "fax_number": "212-569-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W 204TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343003",
            "telephone_number": "212-569-4652",
            "fax_number": "212-569-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVOSHEYEVA",
        "first_name": "VALENTINA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.