IndividualActive
Larisa Tkach, DDS
NPI 1063623650 · General Practice Dentistry · New York, NY
Larisa Tkach, DDS is a General Practice Dentistry provider in New York, NY (NPI 1063623650).
Provider details
- NPI number
- 1063623650
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 051565 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1560 Broadway Ste 601
New York, NY 10036-2520
Phone: (212) 278-8105
Fax: (212) 278-8297
Street-level locationGet directions
Mailing address
1560 Broadway Ste 601
New York, NY 10036-2520
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2020-01-19
- Certified
- 2020-01-19
Frequently asked questions
- What is Larisa Tkach's NPI number?
- Larisa Tkach's National Provider Identifier (NPI) is 1063623650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larisa Tkach's specialty?
- Larisa Tkach is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Larisa Tkach located?
- Larisa Tkach's practice location on file with NPPES is 1560 Broadway Ste 601, New York, NY 10036-2520.
- What is Larisa Tkach's phone number?
- The practice phone number listed in the NPPES registry for Larisa Tkach is (212) 278-8105.
- Is Larisa Tkach's NPI active?
- Yes — Larisa Tkach's NPI (1063623650) is active in the NPPES registry as of the last update on 2020-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.