Anna Komnatnaya, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859034 Issued in MA

Practice address

245 First St Ste 18
Cambridge, MA 02142-1292

Phone

(888) 833-8441

NPI assigned

May 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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.

• Yale-New Haven Hospital

  • General Practice Dentistry
  • New Haven, CT
  • NPI 1114312469
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1770930455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ROCKRIDGE RD",
            "city": "HOPEDALE",
            "state": "MA",
            "postal_code": "017471451",
            "telephone_number": "508-381-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FIRST ST STE 18",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421292",
            "telephone_number": "888-833-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMNATNAYA",
        "first_name": "ANNA",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Magdalena Koha
• Alisa Kohn, MD
• Emma Kolchin-Miller
• Greg Kolodziejczak, PSYD
• Alexandra Arielle Kolwicz, PHARMD
• Margaret Anne Komoniewski, OD
• Rebecca L Konkle, M.D.
• Tracie A Konopinski, MSW, LCSW
• Lily Konowitz
• Nicholas Kontos

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.