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ISABEL MISHA VYAZMENSKY DMD
NPI 1780207274
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since May 19, 2020PECOS Enrolled
2211 S BROOK ST ROOM 105, LOUISVILLE, KY 40292(502) 852-3534 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Isabel Misha Vyazmensky Dmd NPPES

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

ISABEL MISHA VYAZMENSKY DMD (NPI 1780207274) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780207274
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameISABEL MISHA VYAZMENSKYCredential: DMD
Location Address2211 S BROOK ST ROOM 105Louisville, KY 40292-2442
Mailing Address2211 S Brook St Room 105Louisville, KY 40292-2442
Phone(502) 852-3534
Sole ProprietorNo
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1780207274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2211 S BROOK ST ROOM 105, Louisville, KY 40292
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isabel Misha Vyazmensky Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Isabel Vyazmensky's NPI number?

The NPI number for Isabel Vyazmensky is 1780207274. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Isabel Vyazmensky located?

Isabel Vyazmensky practices at 2211 S Brook St Room 105, Louisville, KY 40292. The listed phone number is (502) 852-3534.

What is Isabel Vyazmensky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Isabel Vyazmensky enrolled in Medicare?

Yes. Isabel Vyazmensky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Isabel Vyazmensky was last updated on May 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.