Inessa Kandov, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

056061 Issued in NY

Practice address

21333 39TH Ave Ste 300
Bayside, NY 11361-2092

Phone

(718) 734-2888

Fax

(718) 734-2899

NPI assigned

Jul 19, 2012

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bayview Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bayside, NY
  • NPI 1053955260
  NPD Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1336494939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE STE 300",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612092",
            "telephone_number": "718-734-2888",
            "fax_number": "718-734-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE STE 300",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612092",
            "telephone_number": "718-734-2888",
            "fax_number": "718-734-2899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21333 39th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113612092",
            "country_code": "US",
            "telephone_number": "718-423-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANDOV",
        "first_name": "INESSA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056061",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "056061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.baysidefamilydentalny.com",
            "affiliation": "N",
            "address_1": "21333 39th Ave Ste 300",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113612092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• JWC PT PC
• Evelyn Kagabines, D.M.D.
• Denise Ann Kalafatis
• Jana Kalensky, M.S. SPED./ED., BCBA
• Olga Kalvar, RN
• Lev Kandov, D.D.S.
• Caitlin Elizabeth Kane, MS, OTR/L
• Mayura Kanekar, OT
• Ioanna Kanellopoulos
• Donghoon Kang, L.AC.

• Orthodontics and Dentofacial Orthopedics Dentistry in Bayside, NY
• Providers in Bayside, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.