Marina Kandkhorov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

057465 Issued in NY

Practice address

6440 99TH St Apt 3D
Rego Park, NY 11374-3551

Phone

(718) 812-4986

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NY

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

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

• All Smiles Dental Care

  • General Practice Dentistry
  • East Meadow, NY
  • NPI 1548195787
  NPD Authorized official

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1427457530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 99TH ST APT 3D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743551",
            "telephone_number": "718-812-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 99TH ST APT 3D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743551",
            "telephone_number": "718-812-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDKHOROV",
        "first_name": "MARINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Kalontar
• Bracha Y Kalter, LMSW
• Sujata Kamdar, MS PT
• Santha Kamineni, M.D
• Ilana Kandchorov, SI (MS,ED)
• Dalila Kandov
• Dani Kandov
• Sarit Kandov
• Jenna Kantor, PT, DPT
• Zaheer Karani

• Dentist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.