Lev Kandov, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055553 Issued in NY

Practice address

21333 39TH Ave Ste 302
Bayside, NY 11361

Phone

(718) 423-2626

NPI assigned

May 7, 2010

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

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 and National Provider Directory roles.

• Bayside Family Dental, P.C.

  • General Practice Dentistry
  • Bayside, NY
  • NPI 1114323730
  NPD (past) Authorized official
• Bayside Family Dental Practice PC

  • General Practice Dentistry
  • Bayside, NY
  • NPI 1619018405
  NPD (past)

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1457679052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE STE 302",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612092",
            "telephone_number": "718-423-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE STE 302",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-423-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDOV",
        "first_name": "LEV",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• General Practice Dentistry in Bayside, NY
• Providers in Bayside, 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 25, 2018; 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.