Kool Smiles Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053757 Issued in NY

Legal business name

KOOL SMILES DENTAL PC

Practice address

11510 Queens Blvd
Ul-6
Forest Hills, NY 11375-7015

Phone

(718) 874-6969

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Khaim Kalantarov

Title

President

Phone

(718) 874-6969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1497069470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 QUEENS BLVD",
            "address_2": "UL-6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757015",
            "telephone_number": "718-874-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 QUEENS BLVD",
            "address_2": "UL-6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757015",
            "telephone_number": "718-874-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL SMILES DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "KALANTAROV",
        "authorized_official_first_name": "KHAIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-874-6969"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Martin Kolinsky, D.D.S.
• Diana Koltovski, DO
• Avner Kondov, FNP
• Krystian Koniarz
• Boris A Konnikow, MD PHD
• Natalie Koptyev, PHARMD
• Iryna Koriaeva
• Sara M Korman, MA
• Michele Britt Kormendi, MA, CCC-SLP
• Arden Koroglu

• General Practice Dentistry in Forest Hills, NY
• Providers in Forest Hills, 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 Nov 4, 2010; 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.