Oksana Valentinovna Somchenko, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1001784-15 Issued in WI

Practice address

424 S Monroe Ave
Green Bay, WI 54301-4054

Phone

(920) 544-0346

NPI assigned

May 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Oksana Valentinovna Fursov Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• N.E.W. Community Clinic, LTD

  • Federally Qualified Health Center (FQHC)
  • Green Bay, WI
  • NPI 1487878328
  NPD (past)

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1720516685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E LE CAPITAINE CIR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543025152",
            "telephone_number": "920-713-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S MONROE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014054",
            "telephone_number": "920-544-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMCHENKO",
        "first_name": "OKSANA",
        "middle_name": "VALENTINOVNA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "1001784-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OKSANA",
            "last_name": "FURSOV",
            "middle_name": "VALENTINOVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krista M Solarek, PA-C
• Erica Soletski, MSW, LCSW
• Manal S Soliman, M.D.
• Solution Focused Counseling LLC
• Somali Transportation Services LLC
• Sarah J Sommermeyer, PT
• Elizabeth A Sommers, PAC
• George D Soncrant, DO
• Song Counseling LLC
• Hwe Jae Song, M.D.

• Pediatric Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.