Iordanka P Prodanova, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050129 Issued in NY

Practice address

1 W 34TH St RM 903
New York, NY 10001-2229

Phone

(212) 216-9092

Fax

(212) 216-9001

NPI assigned

Apr 3, 2007

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

Practice roles

Locations

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.

• I. Prodanova DDS, PC

  • General Practice Dentistry
  • New York, NY
  • NPI 1396376356
  NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1932220498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W 97TH ST APT 2N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256207",
            "telephone_number": "212-216-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W 34TH ST RM 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012229",
            "telephone_number": "212-216-9092",
            "fax_number": "212-216-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRODANOVA",
        "first_name": "IORDANKA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andria Procopio
• Catherine Procopio, PT
• Matthew Peter Procopio, PT, DPT
• Amber Proctor-Reyes, PHD
• Lenore F Proctor, PSYD
• Professional Car Service
• Professional Clinical Laboratories
• Professional Dental Office PC
• Professional Dental Office PC.
• Professional Dental Service

• General Practice Dentistry in New York, NY
• Providers in New York, 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 Oct 29, 2021; 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.