Tetyana Melnyk, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027689 Issued in IL

Practice address

4815 N Damen Ave
Chicago, IL 60625-7825

Phone

(773) 728-9200

NPI assigned

Oct 14, 2008

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 names 1

• Dr. Tetyana Wozny Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1780836486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257825",
            "telephone_number": "773-728-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257825",
            "telephone_number": "773-728-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNYK",
        "first_name": "TETYANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TETYANA",
            "last_name": "WOZNY",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Iouri Melnik, M.D.
• Andrey Melnikov, DPM
• Nadiya Melnyk, L.AC
• Sophia Melnyk
• Tetyana Melnyk, PHARMD
• Thaize Lara Melo, DDS
• Kelsey Melody
• Richard Allen Melody, CST/CFA
• Julia Rose Melone, M.S.
• Sarah Melowsky, LCSW, OSW-C

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.