Mark Kholdarov, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

055561 Issued in NY

Practice address

2806 Steinway St
Astoria, NY 11103-3338

Phone

(718) 932-8880

NPI assigned

Jun 2, 2010

Last updated

Apr 13, 2026By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brad S Hantverk DDS PC

  • Dental Clinic/Center
  • Astoria, NY
  • NPI 1316207848
  NPD (past)

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1801116777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033338",
            "telephone_number": "718-932-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033338",
            "telephone_number": "718-932-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Poly Pl",
            "address_2": "Department of Dental Services",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112097104",
            "country_code": "US",
            "telephone_number": "718-836-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOLDAROV",
        "first_name": "MARK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena Kharlamenko, MS, RD
• Hebah Kharoufeh, PHARMD
• Jack Nicolas Khawaja
• Usama Khayyal, MD
• Simone Khedaru, PT,DPT
• Mukul Khurana, MD
• Abdul Ali Khuwaja, MD
• Konstantinos Theodore Kiamos, DDS
• Yulio Kilfi
• Byongsuk Kim

• Dentist in Astoria, NY
• Providers in Astoria, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.