Kirill Kvitko, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

45382 Issued in CA

Practice address

14378 Ventura Blvd
Sherman Oaks, CA 91423-2756

Phone

(818) 907-8383

Fax

(818) 907-8380

NPI assigned

Jul 26, 2013

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Care Plus Home Health Inc.

  • Community Based Hospice Care Agency
  • La Crescenta, CA
  • NPI 1700340551

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Treystman DDS Inc

  dba New Century Dental Group

  • Dentist
  • Los Angeles, CA
  • NPI 1972679124
  NPD (past)
• Rayfeld & Treystman, a Dental Corporation

  dba Commerce Dental

  • Dentist
  • Commerce, CA
  • NPI 1538286760
  NPD (past)

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1144662412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14378 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232756",
            "telephone_number": "818-907-8383",
            "fax_number": "818-907-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14378 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232756",
            "telephone_number": "818-907-8383",
            "fax_number": "818-907-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVITKO",
        "first_name": "KIRILL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Francis Kurtz, PA
• Tim Ruksa Kuson, M.D.
• Brittany Decker Kusserow, LMFT
• Alexandra Lillian Kussin-Shoptaw, PHD
• Bianca Kuunnuji
• KW Cheng DDS and V Thay DDS Inc
• Sujin Kwack
• Young-Ae Anne Kwun, MD
• Clinton Kyles, CMT, PTT
• L & H Hospice Care, Inc

• Dentist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.