Active NPI
Pazliddin Kobilov, DDS
- Dentist
- Ogdensburg, NY
National Provider Identifier
1740177096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 065350
- Practice address
- 102 Ford St
Ogdensburg, NY 13669-1402 - Phone
- (315) 713-9350
- Fax
- (315) 713-9351
- NPI assigned
- Jun 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 065350 | NY | Primary |
Addresses
Primary practice location
102 Ford St
Ogdensburg, NY 13669-1402
Mailing address
133 Jordyn'S CRT
Amherstview, ON K7N0A7
CA
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
| License | State | Type | Specialty |
|---|---|---|---|
| 065350 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Association of the North Country, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Canton, NY
- NPI 1467432765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1740177096",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "133 JORDYN'S CRT",
"city": "AMHERSTVIEW",
"state": "ON",
"postal_code": "K7N0A7"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 FORD ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691402",
"telephone_number": "315-713-9350",
"fax_number": "315-713-9351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBILOV",
"first_name": "PAZLIDDIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-19",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "065350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.