MICHAEL SAMANDAROV DDS
NPI 1114418977
Dentist in Jackson Heights, NY

Q: What is Michael Samandarov's NPI number?

The NPI number for Michael Samandarov is 1114418977. It was assigned to this individual provider in the NPPES registry on May 28, 2018.

Q: What is Michael Samandarov's specialty?

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

Active since May 28, 2018PECOS Enrolled

8411 NORTHERN BLVD FL 1, JACKSON HEIGHTS, NY 11372(718) 424-7100 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2021, Jun 7, 2019 (2 updates tracked since 2019).

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About Michael Samandarov Dds NPPES

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

MICHAEL SAMANDAROV DDS (NPI 1114418977) is an individual dentist in Jackson Heights, New York, licensed in New York (060753) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114418977

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMICHAEL SAMANDAROVCredential: DDS

Location Address8411 NORTHERN BLVD FL 1Jackson Heights, NY 11372-1531

Mailing Address8411 Northern Blvd Fl 1Jackson Heights, NY 11372-1531 · (718) 424-7100

Phone(718) 424-7100

Sole ProprietorNo

Enumeration DateMay 28, 2018

Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration

NPPES CertifiedAugust 11, 2021

✔ NPI 1114418977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 060753

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.

8411 NORTHERN BLVD FL 1, Jackson Heights, NY 11372

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Humana, UnitedHealthcare.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)

Michael Samandarov 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 11372 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.

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 Michael Samandarov's NPI number?

The NPI number for Michael Samandarov is 1114418977. It was assigned to this individual provider in the NPPES registry on May 28, 2018.

Where is Michael Samandarov located?

Michael Samandarov practices at 8411 Northern Blvd Fl 1, Jackson Heights, NY 11372. The listed phone number is (718) 424-7100.

What is Michael Samandarov's specialty?

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

Is Michael Samandarov enrolled in Medicare?

Yes. Michael Samandarov is registered in the Medicare PECOS enrollment system.

What insurance does Michael Samandarov accept?

Health plans from Anthem Blue Cross and Blue Shield, Humana and UnitedHealthcare list Michael Samandarov 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 Michael Samandarov was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.