Aleksandr Kitaygorodskiy, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS044224 Issued in PA

Practice address

255 S 17TH St Ste 1206
Philadelphia, PA 19103-6212

Phone

(215) 545-5592

NPI assigned

Jun 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1083282883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036212",
            "telephone_number": "215-545-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036212",
            "telephone_number": "215-545-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAYGORODSKIY",
        "first_name": "ALEKSANDR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS044224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Maureen Kissman, M.D.
• Joseph Kist
• Alicia Kistler
• Charles Andrew Kistler, M.D., PHARM.D.
• Kristina Kitano, CRNP
• Jason Kitchen, MD
• Kristen Kitchen, PA-C
• Isaac Kitching
• Paul M Kitei, M.D.
• Nary Preap Kith, PHD

• Periodontics in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.