Ivan Kamenov Nedeltchev, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

011196 Issued in CT

Practice address

22 Prospect St
Ridgefield, CT 06877-4510

Phone

(203) 244-5308

Fax

(203) 403-3330

NPI assigned

Sep 16, 2008

Last updated

Oct 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivan Nedeltchev

  • Dental Clinic/Center
  • Ridgefield, CT
  • NPI 1295986339
  NPD (past) Authorized official

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1871742643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PROSPECT ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774510",
            "telephone_number": "203-244-5308",
            "fax_number": "203-403-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PROSPECT ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774510",
            "telephone_number": "203-244-5308",
            "fax_number": "203-403-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDELTCHEV",
        "first_name": "IVAN",
        "middle_name": "KAMENOV",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "57547",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "011196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Doyle Murray, DPT, MS
• Myeyedr Optometry of Connecticut, LLC (MyEyeDr.)
• Svitlana Myrutska
• Ena Nanic, MD
• Naturopathic Healing LLC
• Layla Nejati
• Janet K Nelson, LCSW
• Tammy Christine Nelson, MS
• Neuropathways Clinic of Connecticut LLC
• New Smile Dental, LLC

• Endodontics in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Endodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.