DAVID IRA KONICOV DDS
NPI 1033264866
Dentist in Providence, RI

Q: What is David Konicov's NPI number?

The NPI number for David Konicov is 1033264866. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is David Konicov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Konicov 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.

Active since January 24, 2007

189 GOVERNOR ST, SUITE 201, PROVIDENCE, RI 02906(401) 421-1457 Get Directions Write a Review

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

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About David Ira Konicov Dds NPPES

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

DAVID IRA KONICOV DDS (NPI 1033264866) is an individual dentist in Providence, Rhode Island, licensed in Rhode Island (1907) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1033264866

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDAVID IRA KONICOVCredential: DDS

Location Address189 GOVERNOR ST, SUITE 201Providence, RI 02906-3124

Mailing Address189 Governor St, Suite 201Providence, RI 02906-3124 · (401) 421-1457

Phone(401) 421-1457

Sole ProprietorNo

Enumeration DateJanuary 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033264866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in RI · 1907

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.

189 GOVERNOR ST, Providence, RI 02906

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Other Identifiers 2

MedicaidDK01000RI

Other1907RI · Ri License

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 Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

MS. DONNA M CASSIDY MSW

Social Worker (Clinical)

189 GOVERNOR ST, SUITE 203
PROVIDENCE, RI 02906

Providence County (401) 273-2447

BENEFIT DENTAL CARE, LLC

Dentist (General Practice)

189 GOVERNOR ST
PROVIDENCE, RI 02906

Providence County (401) 421-1457

PERIODONTAL ASSOCIATES, LTD.

Dentist

189 GOVERNOR ST
PROVIDENCE, RI 02906

Providence County (401) 421-6464

CONTINUUM INTEGRATED CARE LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

189 GOVERNOR ST
PROVIDENCE, RI 02906

Providence County (401) 659-4216

B ALLEN FLAXMAN MD INC

Dermatology

189 GOVERNOR ST, SUITE 110
PROVIDENCE, RI 02906

Providence County (401) 331-1008

DR. JEFFREY BRAM SHAPIRO DMD

Dentist (Periodontics)

189 GOVERNOR ST
PROVIDENCE, RI 02906

Providence County (401) 421-6464

LISA REIDSEMA LMHC/MHC/LPC

Counselor (Mental Health)

189 GOVERNOR ST, SUITE 202
PROVIDENCE, RI 02906

Providence County (401) 484-0244

DR. STEPHEN BISHOP PHD

Psychologist

189 GOVERNOR ST, 202
PROVIDENCE, RI 02906

Providence County (401) 751-2717

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 Konicov's NPI number?

The NPI number for David Konicov is 1033264866. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is David Konicov located?

David Konicov practices at 189 Governor St Suite 201, Providence, RI 02906. The listed phone number is (401) 421-1457.

What is David Konicov's specialty?

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

What insurance does David Konicov accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list David Konicov 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 David Konicov 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.