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INDIRA TIKHONOVA
NPI 1396438636
Dentist in Travelers Rest, SC

Active since June 01, 2023PECOS Enrolled
309 N MAIN ST, TRAVELERS REST, SC 29690(864) 610-6188 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2023, Jun 1, 2023 (2 updates tracked since 2023).

About Indira Tikhonova NPPES

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

INDIRA TIKHONOVA (NPI 1396438636) is an individual dentist in Travelers Rest, South Carolina, licensed in New Hampshire (04865) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396438636
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameINDIRA TIKHONOVA
Location Address309 N MAIN STTravelers Rest, SC 29690-1527
Mailing Address309 N Main StTravelers Rest, SC 29690-1527 · (864) 610-6188
Phone(864) 610-6188
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 1, 2023
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1396438636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NH · 04865
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
309 N MAIN ST, Travelers Rest, SC 29690
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indira Tikhonova is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254838675
PECOS Enrollment IDI20251009004207
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29690 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

FAMILY DENTAL HEALTH GROUP LLC
Dentist (General Practice)
309 N MAIN ST
TRAVELERS REST, SC 29690
Greenville County (864) 387-5452

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 Indira Tikhonova's NPI number?

The NPI number for Indira Tikhonova is 1396438636. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Indira Tikhonova located?

Indira Tikhonova practices at 309 N Main St, Travelers Rest, SC 29690. The listed phone number is (864) 610-6188.

What is Indira Tikhonova's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Indira Tikhonova enrolled in Medicare?

Yes. Indira Tikhonova is registered in the Medicare PECOS enrollment system.

What insurance does Indira Tikhonova accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Indira Tikhonova 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 Indira Tikhonova was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.