Alexander Khabensky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046665 Issued in NY

Practice address

1615 Quentin Rd Ste A1
Brooklyn, NY 11229-1295

Phone

(718) 339-8852

Fax

(718) 339-9514

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aleksandr A Khabenskiy Other name

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

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881731503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 E 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352004",
            "telephone_number": "718-891-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 QUENTIN RD STE A1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291295",
            "telephone_number": "718-339-8852",
            "fax_number": "718-339-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHABENSKY",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01676815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEKSANDR",
            "last_name": "KHABENSKIY",
            "middle_name": "A",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kfcny Corp
• KFG Operating I, LLC
• KFG Operating Two, LLC
• KG Hollywood Smile Dental, PC
• KH Pain Associates of New York, LLP
• Igor Khabensky, D.D.S
• Vrutika Khabia, PT
• Shelly Rachel Khabieh
• Shaya Khabyeh-Hasbani, M.D.
• Viktoria Khachatryan, OTR/L

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 8, 2007; 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.