Individual provider Active NPI

Kamen Ivanov Nedeltchev, DDS

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1740286392
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50794 Issued in CA
Practice address
500 Old River Rd
Ste 225
Bakersfield, CA 93311-9508
Phone
(661) 663-0109
Fax
(661) 663-9810
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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 50794 CA Primary

Addresses

Primary practice location

500 Old River Rd
Ste 225
Bakersfield, CA 93311-9508

Mailing address

500 Old River Rd
Ste 225
Bakersfield, CA 93311-9508
Phone (661) 663-0109

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
50794CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1740286392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD",
            "address_2": "STE 225",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119508",
            "telephone_number": "661-663-0109",
            "fax_number": "661-663-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD",
            "address_2": "STE 225",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119508",
            "telephone_number": "661-663-0109",
            "fax_number": "661-663-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDELTCHEV",
        "first_name": "KAMEN",
        "middle_name": "IVANOV",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.