Dr. Miryem Kandinov D.D.S PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045011 Issued in NY

Legal business name

DR. MIRYEM KANDINOV D.D.S PC

Practice address

123-60 83 Ave
Suite 2W
Kew Gardens, NY 11415

Phone

(718) 261-6310

Fax

(718) 261-1085

NPI assigned

Mar 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Miryem Kandinov, D.D.SNPI 1659360857

Title

Owner

Phone

(718) 261-6310

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miryem Kandinov, D.D.S

  • General Practice Dentistry
  • Kew Gardens, NY
  • NPI 1659360857
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1003087008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123-60 83 AVE",
            "address_2": "SUITE 2W",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "11415",
            "telephone_number": "718-261-6310",
            "fax_number": "718-261-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123-60 83 AVE",
            "address_2": "SUITE 2W",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "11415",
            "telephone_number": "718-261-6310",
            "fax_number": "718-261-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MIRYEM KANDINOV D.D.S PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "KANDINOV",
        "authorized_official_first_name": "MIRYEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-261-6310",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01474033",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Dolce
• Ruth Don
• Stephen Dong, O.D.
• Kate Donovan, CCC-SLP
• Jodian Downer
• Duane Reade
• Lynda Nora Durand, LMHC
• E. Sholom Inc
• Ea PA Health P.C.
• Early Rise Intervention Inc.

• General Practice Dentistry in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.