Kirill Klimashov, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

MA21818 Issued in MA

Practice address

879 Main St
Waltham, MA 02451-7414

Phone

(781) 899-3700

NPI assigned

Jul 5, 2007

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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• 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.

• 42 North Dental Care, LLC

  dba Gentle Dental Waltham

  • Dental Clinic/Center
  • Waltham, MA
  • NPI 1558631432
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922206523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 APRIL LN",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024218101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517414",
            "telephone_number": "781-899-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMASHOV",
        "first_name": "KIRILL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "MA21818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Kischkum
• Nancy M Kivel, M.D.
• Amanda Klayman
• Rosemary Klein, PH.D.
• Nadine Kleman
• Susan Alexandra Klupchak, LCSW
• Hadassah G Kneppel, NP
• Alexa Janelle Knopf, OTR/L
• Michelle Nancy Knowles, ANP-BC
• Charles G Knudsen

• Oral and Maxillofacial Surgery (Dentist) in Waltham, MA
• Providers in Waltham, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• 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.