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LARISA TKACH DDS
NPI 1063623650
Dentist - General Practice in New York, NY

Active since May 24, 2007
1560 BROADWAY STE 601, NEW YORK, NY 10036(212) 278-8105(212) 278-8297 Get Directions Write a Review

NPPES record last updated: January 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2020, Jun 23, 2018 (2 updates tracked since 2018).

About Larisa Tkach Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISA TKACH DDS (NPI 1063623650) is an individual general practice provider in New York, New York, licensed in New York (051565) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063623650
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLARISA TKACHCredential: DDS
Location Address1560 BROADWAY STE 601New York, NY 10036-2520
Mailing Address1560 Broadway Ste 601New York, NY 10036-2520 · (212) 278-8105 · Fax (212) 278-8297
Phone(212) 278-8105
Fax(212) 278-8297
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateJanuary 19, 20202 updates tracked since enumeration
✔ NPI 1063623650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 051565
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1560 BROADWAY STE 601, New York, NY 10036
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW YORK MIDTOWN DENTAL, PC
Clinic/Center (Dental)
1560 BROADWAY STE 601
NEW YORK, NY 10036
New York County (212) 278-8105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larisa Tkach's NPI number?

The NPI number for Larisa Tkach is 1063623650. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Larisa Tkach located?

Larisa Tkach practices at 1560 Broadway Ste 601, New York, NY 10036. The listed phone number is (212) 278-8105.

What is Larisa Tkach's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Larisa Tkach accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and UnitedHealthcare list Larisa Tkach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larisa Tkach was last updated on January 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.