Organization Active NPI

Ekaterina Tomenko DDS LLC

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1730536863
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14794 Issued in MD
Legal business name
EKATERINA TOMENKO DDS LLC
Practice address
10230 New Hampshire Ave
Suite 330
Silver Spring, MD 20903-1400
Phone
(301) 439-8333
Fax
(301) 439-4622
NPI assigned
May 18, 2016
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Dr. Ekaterina Y Tomenko, DDSNPI 1740584481
Title
Doctor/Manager
Phone
(301) 439-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14794 MD Primary

Addresses

Primary practice location

10230 New Hampshire Ave
Suite 330
Silver Spring, MD 20903-1400

Mailing address

10230 New Hampshire Avenue
Suite 330
Silver Spring, MD 20903
Phone (301) 439-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220714002799 DC Part B Supplier - Clinic/Group Practice 1052699253 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1730536863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVENUE",
            "address_2": "SUITE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20903",
            "telephone_number": "301-439-8333",
            "fax_number": "301-439-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031400",
            "telephone_number": "301-439-8333",
            "fax_number": "301-439-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKATERINA TOMENKO DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "TOMENKO",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DOCTOR/MANAGER",
        "authorized_official_telephone_number": "301-439-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.