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Export Provider Record NPI 1104225309
Julia Niyazova
Active
NPI Number1104225309
NPI TypeNPI-1 Individual
SpecialtyDentist
Provider Details
NPI1104225309
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-08-14
Last Updated2014-11-17
Mailing Address910 E 172nd St
Bronx, NY 10460-5802
United States
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Primary Practice Address910 E 172nd St
Bronx, NY 10460-5802
United States
Phone: (347) 767-2200
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes122300000X – DentistNY0574941
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About NPI 1104225309

Julia Niyazova is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104225309. The primary specialty listed is Dentist. The provider is located in Bronx, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-08-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104225309?

NPI 1104225309 belongs to Julia Niyazova, a Dentist in Bronx, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104225309 active?

The current status of NPI 1104225309 in the NPPES registry is Active. The record was last updated on 2014-11-17.

What specialty is NPI 1104225309?

NPI 1104225309 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104225309?

You can verify NPI 1104225309 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104225309?

The primary practice address on file for NPI 1104225309 is 910 E 172nd St, Bronx, NY 10460-5802. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104225309 issued?

NPI 1104225309 was first issued (enumerated) on 2014-08-14. The NPPES record was last updated on 2014-11-17.

Practice Location Map

Julia Niyazova is located at 910 E 172nd St, Bronx, NY. Use the map below to find directions or verify the practice location.

📍 910 E 172nd St, Bronx, NY 10460-5802  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Julia Niyazova. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104225309. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist0574941NY
Data Verified from CMS NPPES Last synced: 2026-06-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162