Alan Kandinov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857994 Issued in MA

Practice address

25 Dorchester Ave
Boston, MA 02205-0002

Phone

(248) 225-9028

NPI assigned

Jun 14, 2018

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 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.

• Smiles Sonrisas LLC

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1750149548
  NPD Authorized official

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1346733235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DORCHESTER AVE UNIT 51805",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022057037",
            "telephone_number": "248-225-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DORCHESTER AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022050002",
            "telephone_number": "248-225-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDINOV",
        "first_name": "ALAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110136568A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Praveena Kandasami
• Hagar Hamdy Abdelhamid Kandel, MD
• Ruth Kandel
• Sedat G Kandemirli, MD
• Navya Kanderi, MD
• Genevieve Kandler, MSN, CPNP-PC
• Natalia Kandror, M.D.
• Ashley E. D. Kane, M.D,, M.S.
• Barbara J Kane, MD
• Cheryl D Kane, R.N.

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.