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DR. NIKITA FELIKSOVICH KAZAK DDS
NPI 1891272399
Dentist in San Anselmo, CA

Active since July 26, 2018PECOS Enrolled
915 SIR FRANCIS DRAKE BLVD STE 1, SAN ANSELMO, CA 94960(415) 454-5667 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Jul 26, 2018 (2 updates tracked since 2018).

About Dr. Nikita Feliksovich Kazak Dds NPPES

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

DR. NIKITA FELIKSOVICH KAZAK DDS (NPI 1891272399) is an individual dentist in San Anselmo, California, licensed in California (DDS102575) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alameda.

NPPES Registry Identity

NPI1891272399
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NIKITA FELIKSOVICH KAZAKCredential: DDS
Location Address915 SIR FRANCIS DRAKE BLVD STE 1San Anselmo, CA 94960-1946
Mailing Address1325 44th AveSan Francisco, CA 94122-1104 · (415) 652-9916
Phone(415) 454-5667
Sole ProprietorNo
Enumeration DateJuly 26, 2018
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1891272399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS102575
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.
915 SIR FRANCIS DRAKE BLVD STE 1, San Anselmo, CA 94960
Open in Google Maps ↗

Secondary Practice Location 1

Location 12660 5th St Ste CAlameda, CA 94501 · Phone (510) 384-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Nikita Feliksovich Kazak 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 94960 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

KAZAK DENTAL CORP
Clinic/Center (Dental)
915 SIR FRANCIS DRAKE BLVD STE 1
SAN ANSELMO, CA 94960
Marin County (415) 454-5667

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 Nikita Kazak's NPI number?

The NPI number for Nikita Kazak is 1891272399. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Nikita Kazak located?

Nikita Kazak practices at 915 Sir Francis Drake Blvd Ste 1, San Anselmo, CA 94960. The listed phone number is (415) 454-5667.

What is Nikita Kazak's specialty?

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

Is Nikita Kazak enrolled in Medicare?

Yes. Nikita Kazak is registered in the Medicare PECOS enrollment system.

What insurance does Nikita Kazak accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Nikita Kazak 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 Nikita Kazak was last updated on January 7, 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.