Izabela Dodo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

ID04370-1 Issued in NY

Practice address

69-40 Yellowstone Blvd
Suite 9-10
Forest Hills, NY 11375

Phone

(718) 896-3082

Fax

(718) 896-3082

NPI assigned

Feb 22, 2011

Last updated

Feb 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1881991156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69-40 YELLOWSTONE BLVD",
            "address_2": "SUITE 9-10",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-896-3082",
            "fax_number": "718-896-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69-40 YELLOWSTONE BLVD",
            "address_2": "SUITE 9-10",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-896-3082",
            "fax_number": "718-896-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODO",
        "first_name": "IZABELA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "ID04370-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvio Dobry, LMSW
• Abigail Marie Agustero Docena
• Doctor Gerova Medical PLLC
• Amy Doczynski
• Bhupendra T. Dodhiawala, MD
• Yandra Marisol Doering, RDN, CDN
• Christina Marie Doherty, RPH
• Maria Dolgovina, MD
• Alexander E Dolsky, PT
• Vadim Dolsky, LAC

• General Practice Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.