1. Home
  2. Directory
  3. New York
  4. Forest Hills
  5. Dentist
  6. NPI Profile

YURIY FATAKHOV DDS
NPI 1023140407
Dentist in Forest Hills, NY

Active since March 11, 2007PECOS Enrolled
10333 QUEENS BLVD, FOREST HILLS, NY 11375(718) 897-6300(718) 897-5558 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yuriy Fatakhov Dds NPPES

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

YURIY FATAKHOV DDS (NPI 1023140407) is an individual dentist in Forest Hills, New York, licensed in New York (050629) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023140407
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameYURIY FATAKHOVCredential: DDS
Location Address10333 QUEENS BLVDForest Hills, NY 11375-3448
Mailing Address10333 Queens BlvdForest Hills, NY 11375-3448 · (718) 897-6300 · Fax (718) 897-5558
Phone(718) 897-6300
Fax(718) 897-5558
Sole ProprietorYes
Enumeration DateMarch 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023140407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 050629
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
10333 QUEENS BLVD, Forest Hills, NY 11375
Open in Google Maps ↗

Other Identifiers 1

Medicaid02561484NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yuriy Fatakhov Dds 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 11375 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 2

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

ELONA FATAKHOVA DDS
Dentist
10333 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 897-6300
DR. ROZALIYA FATAKHOVA DDS
Dentist (General Practice)
10333 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 897-6300

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 Yuriy Fatakhov's NPI number?

The NPI number for Yuriy Fatakhov is 1023140407. It was assigned to this individual provider in the NPPES registry on March 11, 2007.

Where is Yuriy Fatakhov located?

Yuriy Fatakhov practices at 10333 Queens Blvd, Forest Hills, NY 11375. The listed phone number is (718) 897-6300.

What is Yuriy Fatakhov's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Yuriy Fatakhov enrolled in Medicare?

Yes. Yuriy Fatakhov is registered in the Medicare PECOS enrollment system.

What insurance does Yuriy Fatakhov accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Yuriy Fatakhov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yuriy Fatakhov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.