Konstantine Kiselev, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052113 Issued in NY

Practice address

42 Giffords LN
Staten Island, NY 10308-2014

Phone

(718) 554-4299

Fax

(718) 273-0226

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• No Tears Dental PC

  • Dental Clinic/Center
  • Staten Island, NY
  • NPI 1952814998
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1285846899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GIFFORDS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082014",
            "telephone_number": "718-554-4299",
            "fax_number": "718-273-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 GIFFORDS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082014",
            "telephone_number": "718-554-4299",
            "fax_number": "718-273-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Park Dental Care",
            "address_2": "1502 East 14th street",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11230",
            "country_code": "US",
            "telephone_number": "718-376-6006",
            "fax_number": "718-376-7339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Saint Marks Pl",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103012408",
            "country_code": "US",
            "telephone_number": "718-273-0225",
            "fax_number": "718-273-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISELEV",
        "first_name": "KONSTANTINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN",
            "identifier": "1285846899",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02751513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda L Kirkwood, LMSW
• Militza K. Kiroycheva, M.D.
• Ewa Kirpan, MD
• Kathryn Kirpan, MD
• Jeffrey L Kirsch, OPTICIAN
• Mikhail Kisselev
• Galina D Kitchens, PSY.D.
• Paul Kitsis, MD
• Sharon N Kiuhara, PSYCHOLOGIST
• KJ Optometry PLLC

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, 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 Jun 11, 2019; 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.