Arkadiy Khaitov, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050248 Issued in NY

Practice address

1240 Clintonville St
2ND Floor, Unit-C
Whitestone, NY 11357-1848

Phone

(718) 445-5370

Fax

(718) 445-5377

NPI assigned

Aug 18, 2005

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

Other identifiers 1

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.

• Arkadiy Dental Care,P.C.

  dba AK Dental Care

  • Dental Clinic/Center
  • Whitestone, NY
  • NPI 1295170934
  NPD (past) Authorized official

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1821080540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8718 62ND RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742732",
            "telephone_number": "347-724-6213",
            "fax_number": "718-445-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 CLINTONVILLE ST",
            "address_2": "2ND FLOOR, UNIT-C",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571848",
            "telephone_number": "718-445-5370",
            "fax_number": "718-445-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAITOV",
        "first_name": "ARKADIY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02337713",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Kavallaris
• Kefalos Pharmacy Inc (Village Pharmacy)
• Mary Kelly
• Olivia Robertsen Kelly, SLP
• Christopher Thomas Kempski, LMHC, LRC, CRC, CPT
• Kiran Khalid
• Hanin Khalil
• Wanas Aniss Hana Khalil
• Fatimah Khan
• Jennifer Khayumov, MA

• General Practice Dentistry in Whitestone, NY
• Providers in Whitestone, 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 Apr 24, 2013; 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.