Elena Storozhenko, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28744 Issued in FL

Practice address

205 Village Commons Dr
St Augustine, FL 32092-4544

Phone

(904) 780-9545

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1942071857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WEXFORD WAY APT 5-547",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320950124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 VILLAGE COMMONS DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320924544",
            "telephone_number": "904-780-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOROZHENKO",
        "first_name": "ELENA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Still Water Consulting, Inc. (Still Water Health Services)
• Jeron Stokes, PHARMD
• Patricia A Stokes, ARNP
• Craig Stone
• Ira Michael Stone, M.D.
• Karen Stover, ARNP
• Paula Stowell, ARNP
• Jessica Strickland, DPT
• Tara Leigh Strickland, ARNP, FNP-BC, FNP-C
• Strive Behavioral Health Inc

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.