Individual provider Active NPI

Ilya Tikhonov

  • Durable Medical Equipment & Medical Supplies
  • Asheville, NC
National Provider Identifier
1801192703
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
353 New Leicester Hwy Unit G
Asheville, NC 28806-1512
Phone
(855) 993-0990
Fax
(828) 232-9969
NPI assigned
Feb 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

353 New Leicester Hwy Unit G
Asheville, NC 28806-1512

Mailing address

353 New Leicester Hwy Ste G
Asheville, NC 28806-2058
Phone (855) 993-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1801192703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW LEICESTER HWY STE G",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062058",
            "telephone_number": "855-993-0990",
            "fax_number": "828-232-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW LEICESTER HWY UNIT G",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061512",
            "telephone_number": "855-993-0990",
            "fax_number": "828-232-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKHONOV",
        "first_name": "ILYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-10",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.