Miryem Kandinov, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045011 Issued in NY

Practice address

12360 83Rd Ave
Suite 2W
Kew Gardens, NY 11415-3452

Phone

(718) 261-6310

NPI assigned

Oct 19, 2005

Last updated

Jun 30, 2015By 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

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.

• Dr. Miryem Kandinov D.D.S PC

  • General Practice Dentistry
  • Kew Gardens, NY
  • NPI 1003087008
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1659360857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 83RD AVE",
            "address_2": "SUITE 2W",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153452",
            "telephone_number": "718-261-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 83RD AVE",
            "address_2": "SUITE 2W",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153452",
            "telephone_number": "718-261-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDINOV",
        "first_name": "MIRYEM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily M. Kahn-Freedman, L.M.F.T.
• Angela Kakuriyeva, FNP-C
• Michael Kalimian, D.D.S.
• Emma Kalontar, PHARM.D.
• Yeseniya Kamynina, NP
• Gary Kantrowitz, D.P.M.
• Donald Gerald Kaplan, PH.D., LMHC
• Irina Karshigi, M.S., C.C.C.-SLP
• Lea Katayev
• Deniz Kaya, PA

• General Practice Dentistry in Kew Gardens, NY
• Providers in Kew Gardens, 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 30, 2015; 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.