NPIMap

Organization Active NPI

Yelena Kholodenko, D.D.S., LLC

Doing business as Westminster Endodontics

  • Endodontics
  • Westminster, MD
National Provider Identifier
1740629781
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
14164 Issued in MD
Legal business name
YELENA KHOLODENKO, D.D.S., LLC
Doing business as
Westminster Endodontics
Practice address
412 Malcolm Dr
Suite 304
Westminster, MD 21157-6115
Phone
(410) 848-7060
NPI assigned
Jun 24, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Yelena Kholodenko, D.D.S., M.S.NPI 1528378395
Title
Owner
Phone
(410) 848-7060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 14164 MD Primary

Addresses

Primary practice location

412 Malcolm Dr
Suite 304
Westminster, MD 21157-6115

Mailing address

412 Malcolm Dr
Suite 304
Westminster, MD 21157-6115
Phone (410) 848-7060

Other names 1

  • Westminster Endodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1740629781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MALCOLM DR",
            "address_2": "SUITE 304",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576115",
            "telephone_number": "410-848-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MALCOLM DR",
            "address_2": "SUITE 304",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576115",
            "telephone_number": "410-848-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA KHOLODENKO, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "KHOLODENKO",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-848-7060",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "14164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westminster Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.