DR. DMITRIY KUZNETSOV D.D.S.
NPI 1477950467
Dentist - General Practice in New York, NY

Active since November 19, 2014Opted out of Medicare · through Mar 26, 2028
145 E 15TH ST APT 1E, NEW YORK, NY 10003(212) 475-7947(212) 475-7952 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dmitriy Kuznetsov D.d.s. NPPES

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

DR. DMITRIY KUZNETSOV D.D.S. (NPI 1477950467) is an individual general practice provider in New York, New York, licensed in New York (058145) and active in the NPI registry since November 2014. He has opted out of Medicare through March 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477950467
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DMITRIY KUZNETSOVCredential: D.D.S.
Location Address145 E 15TH ST APT 1ENew York, NY 10003-3532
Mailing Address145 E 15th St Apt 1eNew York, NY 10003-3532 · (212) 475-7947 · Fax (212) 475-7952
Fax(212) 475-7952
Sole ProprietorNo
Enumeration DateNovember 19, 2014
Last NPPES UpdateAugust 18, 2015
NPI 1477950467 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 · 058145
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.
145 E 15TH ST APT 1E, New York, NY 10003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Dmitriy Kuznetsov D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 26, 2016 through March 26, 2028.

Opt-Out Effective DateMarch 26, 2016
Opt-Out In Effect ThroughMarch 26, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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

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

Clinic/Center (Dental)
145 E 15TH ST APT 1E
NEW YORK, NY 10003

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 Dmitriy Kuznetsov's NPI number?

The NPI number for Dmitriy Kuznetsov is 1477950467. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Dmitriy Kuznetsov located?

Dmitriy Kuznetsov practices at 145 E 15th St Apt 1E, New York, NY 10003. The listed phone number is (212) 475-7947.

What is Dmitriy Kuznetsov's specialty?

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

Is Dmitriy Kuznetsov enrolled in Medicare?

No. Dmitriy Kuznetsov has opted out of Medicare through March 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dmitriy Kuznetsov was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.