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DR. MIRYEM KANDINOV D.D.S
NPI 1659360857
Dentist - General Practice in Kew Gardens, NY

Active since October 19, 2005PECOS Enrolled
12360 83RD AVE, SUITE 2W, KEW GARDENS, NY 11415(718) 261-6310 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Miryem Kandinov D.d.s NPPES

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

DR. MIRYEM KANDINOV D.D.S (NPI 1659360857) is an individual general practice provider in Kew Gardens, New York, licensed in New York (045011) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659360857
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MIRYEM KANDINOVCredential: D.D.S
Location Address12360 83RD AVE, SUITE 2WKew Gardens, NY 11415-3452
Mailing Address12360 83rd Ave, Suite 2wKew Gardens, NY 11415-3452 · (718) 261-6310
Phone(718) 261-6310
Sole ProprietorNo
Enumeration DateOctober 19, 2005
Last NPPES UpdateJune 30, 2015
✔ NPI 1659360857 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 · 045011
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.
12360 83RD AVE, Kew Gardens, NY 11415
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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, 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)

Dr. Miryem Kandinov D.d.s 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 11415 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

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

INNOVATIVE APPROACH FAMILY SERVICES
Case Manager/Care Coordinator
12360 83RD AVE, PHJ
KEW GARDENS, NY 11415
Queens County (347) 756-2455

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 Miryem Kandinov's NPI number?

The NPI number for Miryem Kandinov is 1659360857. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Miryem Kandinov located?

Miryem Kandinov practices at 12360 83rd Ave Suite 2W, Kew Gardens, NY 11415. The listed phone number is (718) 261-6310.

What is Miryem Kandinov's specialty?

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

Is Miryem Kandinov enrolled in Medicare?

Yes. Miryem Kandinov is registered in the Medicare PECOS enrollment system.

What insurance does Miryem Kandinov 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 Miryem Kandinov 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 Miryem Kandinov was last updated on June 30, 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.