Vladimir Nazarov, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857855 Issued in MA

Practice address

205 South St
Pittsfield, MA 01201-6837

Phone

(413) 443-9013

NPI assigned

Jun 2, 2017

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vladimir Nazarov PC

  • Dental Clinic/Center
  • Pittsfield, MA
  • NPI 1043881170
  NPD Authorized official
• Dr William J. Dehey, Dr James Nesti, PC

  • General Practice Dentistry
  • Pittsfield, MA
  • NPI 1205023462
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1770011819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016837",
            "telephone_number": "413-418-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016837",
            "telephone_number": "413-443-9013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 Fairview Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125341048",
            "country_code": "US",
            "telephone_number": "518-267-3272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410A Balltown Rd",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123042245",
            "country_code": "US",
            "telephone_number": "518-387-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Troy Rd",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121449401",
            "country_code": "US",
            "telephone_number": "518-477-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "690 Merrill Road",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "01201",
            "country_code": "US",
            "telephone_number": "413-499-1880",
            "fax_number": "413-445-8947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZAROV",
        "first_name": "VLADIMIR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011136",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise M Nash, LMT
• Michelle Kirsten Nash, MS, RD, LDN
• Natalya Yantovsky DMD
• National ABA Ma LLC
• Nava Counseling, PLLC
• Derek Joseph Neaz-Nibur, PSYD
• Amanda Nefreres
• Patricia A Negrini, OTR
• Neighborhood Growth Collaborative LLC
• Neil Pyser DDS PC

• General Practice Dentistry in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.