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KETEVAN KIGURADZE DDS
NPI 1588803407
Dentist - Pediatric Dentistry in Darien, CT

Active since February 17, 2009PECOS Enrolled
106 NOROTON AVE, SUITE 103, DARIEN, CT 06820(203) 202-7728 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ketevan Kiguradze Dds NPPES

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

KETEVAN KIGURADZE DDS (NPI 1588803407) is an individual pediatric dentistry provider in Darien, Connecticut, licensed in Connecticut (009629) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588803407
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameKETEVAN KIGURADZECredential: DDS
Location Address106 NOROTON AVE, SUITE 103Darien, CT 06820-5237
Mailing Address106 Noroton Ave, Suite 103Darien, CT 06820-5237 · (203) 202-7728
Phone(203) 202-7728
Sole ProprietorNo
Enumeration DateFebruary 17, 2009
Last NPPES UpdateOctober 26, 2010
✔ NPI 1588803407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CT · 009629
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 009629 (CT), 50 052767 (NY)
106 NOROTON AVE, Darien, CT 06820
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketevan Kiguradze 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 06820 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 13

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

RENUYOU MD
Family Medicine
106 NOROTON AVE
DARIEN, CT 06820
Western Connecticut Planning Region (203) 202-7688
DR. PAUL J GALLO DDA
Dentist
106 NOROTON AVE, MIDDLESEX DENTAL GROUP PC
DARIEN, CT 06820
Western Connecticut Planning Region (203) 655-9922
MRS. MELISSA PULCINI-BUTTINE PA
Physician Assistant
106 NOROTON AVE
DARIEN, CT 06820
Western Connecticut Planning Region (203) 655-9904
MIDDLESEX DENTAL GROUP PC
Dentist
106 NOROTON AVE, MIDDLESEX DENTAL
DARIEN, CT 06820
Western Connecticut Planning Region (203) 655-9922
THE HOUSE OF VERSAILLES MEDICAL SPA LLC
Family Medicine (Obesity Medicine)
106 NOROTON AVE
DARIEN, CT 06820
Western Connecticut Planning Region (203) 202-7688
DR. GEORGE V. TSIMOYIANIS M.D.
Pediatrics (Adolescent Medicine)
106 NOROTON AVE, DARIEN PEDIATRIC ASSOCIATES, LLC
DARIEN, CT 06820
Western Connecticut Planning Region (203) 655-9741
ELITE MEDICAL WELLNESS CENTER P.C.
Family Medicine (Obesity Medicine)
106 NOROTON AVE
DARIEN, CT 06820
Western Connecticut Planning Region (203) 202-7688
NOROTON DENTAL ASSOCIATES LLC
Dentist (General Practice)
106 NOROTON AVE
DARIEN, CT 06820
Western Connecticut Planning Region (203) 655-9922

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 Ketevan Kiguradze's NPI number?

The NPI number for Ketevan Kiguradze is 1588803407. It was assigned to this individual provider in the NPPES registry on February 17, 2009.

Where is Ketevan Kiguradze located?

Ketevan Kiguradze practices at 106 Noroton Ave Suite 103, Darien, CT 06820. The listed phone number is (203) 202-7728.

What is Ketevan Kiguradze's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Ketevan Kiguradze enrolled in Medicare?

Yes. Ketevan Kiguradze is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ketevan Kiguradze was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.