Tatsiana Ahrenstein, DDS

Key facts

NPI

1972065746

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

061459 (NY)

Practice address

3366 Park Ave Ste 201
Wantagh, NY 11793-3718

Phone

(516) 785-2255

NPI assigned

Apr 2, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other names

• Tatsiana Hladkaya Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 8, 2020.

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1972065746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE STE 201",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE STE 201",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933718",
            "telephone_number": "516-785-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011915",
            "country_code": "US",
            "telephone_number": "551-996-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHRENSTEIN",
        "first_name": "TATSIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATSIANA",
            "last_name": "HLADKAYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Wantagh, NY · General Practice Dentistry in New York