Individual provider Active NPI

Ekaterina Tomenko, DDS

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1740584481
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14794 Issued in MD
Practice address
10230 New Hampshire Ave Ste 330
Silver Spring, MD 20903-1418
Phone
(301) 439-8333
Fax
(301) 439-4622
NPI assigned
Jan 10, 2011
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 14794 MD Primary

Addresses

Primary practice location

10230 New Hampshire Ave Ste 330
Silver Spring, MD 20903-1418

Mailing address

10230 New Hampshire Ave Ste 330
Silver Spring, MD 20903-1418
Phone (301) 439-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714003005 DC Practitioner - Dentist 2860781523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Loma Linda University School of Dentistry, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10230 New Hampshire Ave
Suite 330
Silver Spring, MD 20903-1418
Phone (301) 439-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ekaterina Tomenko DDS LLC CurrentSince Jan 7, 2015 Accepting new patients
Advanced Sleep Treatment Co CurrentSince Jan 7, 2015 Accepting new patients

Locations

10230 New Hampshire Ave
Ste 330
Silver Spring, MD 20903
Phone (301) 349-8333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1740584481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE STE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031418",
            "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 STE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031418",
            "telephone_number": "301-439-8333",
            "fax_number": "301-439-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMENKO",
        "first_name": "EKATERINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.