No Tears Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NO TEARS DENTAL PC

Doing business as

State Family Dental Care PC

Practice address

475 Saint Marks PL
Staten Island, NY 10301-2408

Phone

(718) 273-0225

Fax

(718) 273-0226

NPI assigned

Nov 13, 2017

Last updated

Nov 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Konstantin Kiselev

Title

Owner

Phone

(718) 554-4299

Specialties & licenses 1

Addresses

Other names 1

• State Family Dental Care PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Konstantine Kiselev, DDS

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1285846899
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1952814998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GIFFORDS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082014",
            "telephone_number": "718-554-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SAINT MARKS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012408",
            "telephone_number": "718-273-0225",
            "fax_number": "718-273-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NO TEARS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "KISELEV",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-554-4299",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Family Dental Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NK Family Health NP PC
• Nkanga Nkanga, M.D.
• Nkenna Nkemakolam, NURSE PRACTITIONER
• Lathifa Mady Nnap, MD
• No Shame Counseling & Consulting Services LLC
• Ishak Nobel, MD
• Miguel F Noble Jr., OTR/L
• Kara Shea Nobriga, CCC
• Noelle Nocera
• Sarah Margaret Nocito, OTR/L

• Dental Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.