Irina Frolov

Primary specialty

DentistTaxonomy code 122300000X

License

DS040073 Issued in PA

Practice address

496 Revere Dr
Holland, PA 18966-5106

Phone

(267) 882-7672

NPI assigned

Jul 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Irina Tomayeva Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Miracle Dental Center

  • General Practice Dentistry
  • Southampton, PA
  • NPI 1306402524
  NPD Authorized official
• Miracle Dental Center

  • Dentist
  • Feasterville Trevose, PA
  • NPI 1497359954
  NPD Authorized official

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1760897581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 REVERE DR",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189665106",
            "telephone_number": "267-882-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 REVERE DR",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189665106",
            "telephone_number": "267-882-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROLOV",
        "first_name": "IRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DENTAL LICENSE",
            "identifier": "DS040073",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRINA",
            "last_name": "TOMAYEVA",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Michael Falker, M.D.
• Feasterville Family Practice, LLP
• Lindsay Fleck, D.P.T.
• Emilie Flynn
• Mark Fox, D.C.
• Joel Jeffrey Goodman, RPH.
• Elizabeth Ruth Gray-Karagrigoriou, AU.D
• Great Start Therapy Associates, LLC
• Eileen Kelly Greco, CRNP
• Arlene Greenberg

• Dentist in Holland, PA
• Providers in Holland, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.