Tatiana Kalashnikova, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02864200 Issued in NJ

Practice address

2077 E 12TH St
Brooklyn, NY 11229-2727

Phone

(646) 651-9296

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1316615214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 E 12TH ST APT A3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292731",
            "telephone_number": "646-651-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292727",
            "telephone_number": "646-651-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALASHNIKOVA",
        "first_name": "TATIANA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26099",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02864200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivekanand Kalanadhabhatta, M.D.
• Joe Francis Kalangie, MD
• Elizabeth Kalantarov
• Yash Rakeshbhai Kalariya, M.D.
• Amitkumar Kalasariya, PT
• Chana Kalatchy
• Nechama Kalatsky, MS, SPED
• Madhumati R Kalavar, MD
• Jeffy James Kalavelil, MD
• Susan Kalaz

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.