Individual provider Active NPI

Irina K Pogosian, DDS

  • General Practice Dentistry
  • Stamford, CT
National Provider Identifier
1881803153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
008321 Issued in CT
Practice address
25 3Rd St
Stamford, CT 06905-5100
Phone
(203) 359-3296
Fax
(203) 359-0019
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 008321 CT Primary

Addresses

Primary practice location

25 3Rd St
Stamford, CT 06905-5100

Mailing address

5 Valley View Dr
Stamford, CT 06903-3839
Phone (203) 595-9335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20150728004925 CT Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4385958875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008321CTMDMental Health Counselor
8321CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas M Ohlson DDS & Assoc. PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881803153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VALLEY VIEW DR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069033839",
            "telephone_number": "203-595-9335",
            "fax_number": "203-595-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 3RD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055100",
            "telephone_number": "203-359-3296",
            "fax_number": "203-359-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGOSIAN",
        "first_name": "IRINA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.