DAVID A KLEBANOW DMD
NPI 1013921816
Dentist - General Practice in Williston Park, NY

Active since July 28, 2006PECOS Enrolled
105 HILLSIDE AVE, SUITE C, WILLISTON PARK, NY 11596(516) 742-2820(516) 742-7846 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David A Klebanow Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID A KLEBANOW DMD (NPI 1013921816) is an individual general practice provider in Williston Park, New York, licensed in New York (034952) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013921816
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDAVID A KLEBANOWCredential: DMD
Location Address105 HILLSIDE AVE, SUITE CWilliston Park, NY 11596-2311
Mailing Address105 Hillside Ave, Suite CWilliston Park, NY 11596-2311 · (516) 742-2820 · Fax (516) 742-7846
Fax(516) 742-7846
Sole ProprietorYes
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1013921816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 034952
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

105 HILLSIDE AVE, Williston Park, NY 11596

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David A Klebanow Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11596 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (School)
105 HILLSIDE AVE, STE G
WILLISTON PARK, NY 11596
Internal Medicine (Endocrinology, Diabetes & Metabolism)
105 HILLSIDE AVE, SUITE A
WILLISTON PARK, NY 11596
Psychologist (Clinical)
105 HILLSIDE AVE
WILLISTON PARK, NY 11596
Psychologist (Clinical)
105 HILLSIDE AVE
WILLISTON PARK, NY 11596
Psychologist
105 HILLSIDE AVE, SUITE G
WILLISTON PARK, NY 11596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Klebanow's NPI number?

The NPI number for David Klebanow is 1013921816. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is David Klebanow located?

David Klebanow practices at 105 Hillside Ave Suite C, Williston Park, NY 11596. The listed phone number is (516) 742-2820.

What is David Klebanow's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Klebanow enrolled in Medicare?

Yes. David Klebanow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Klebanow was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.