DR. ALEXANDR NEKTALOV DDS
NPI 1962905554
Dentist in Brooklyn, NY

Q: What is Alexandr Nektalov's NPI number?

The NPI number for Alexandr Nektalov is 1962905554. It was assigned to this individual provider in the NPPES registry on March 9, 2018.

Q: What is Alexandr Nektalov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexandr Nektalov was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 09, 2018PECOS Enrolled

1390 PENNSYLVANIA AVE, BROOKLYN, NY 11239(718) 642-8600 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2020, Mar 9, 2018 (2 updates tracked since 2018).

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About Dr. Alexandr Nektalov Dds NPPES

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

DR. ALEXANDR NEKTALOV DDS (NPI 1962905554) is an individual dentist in Brooklyn, New York, licensed in New York (060699-01) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962905554

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ALEXANDR NEKTALOVCredential: DDS

Location Address1390 PENNSYLVANIA AVEBrooklyn, NY 11239-2103

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321

Phone(718) 642-8600

Sole ProprietorYes

Enumeration DateMarch 9, 2018

Last NPPES UpdateMay 15, 20202 updates tracked since enumeration

NPPES CertifiedMay 15, 2020

✔ NPI 1962905554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 060699-01

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.

1390 PENNSYLVANIA AVE, Brooklyn, NY 11239

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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. Alexandr Nektalov 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 11239 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 12

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

DR. ALAN ROSALES D.M.D

Dentist

1390 PENNSYLVANIA AVE
BROOKLYN, NY 11239

Kings County (305) 213-6971

BRIAN KEITH LEVY

Durable Medical Equipment & Medical Supplies (Customized Equipment)

1390 PENNSYLVANIA AVE, STE E
BROOKLYN, NY 11239

Kings County (718) 642-2088

MS. JOANNE CAVALIERE PT

Physical Therapist

1390 PENNSYLVANIA AVE
BROOKLYN, NY 11239

Kings County (718) 642-1100

ABRAM MOSHEYEV

Dentist

1390 PENNSYLVANIA AVE
BROOKLYN, NY 11239

Kings County (718) 642-8600

STARRETT CITY DENTAL GROUP

Dentist

1390 PENNSYLVANIA AVE
BROOKLYN, NY 11239

Kings County (718) 642-8600

DR. PREM C GOEL M.D.

Internal Medicine (Cardiovascular Disease)

1390 PENNSYLVANIA AVE
BROOKLYN, NY 11239

Kings County (718) 642-6200

NABIL AND REBECCA G RAOOF, MD PC

Pediatrics

1390 PENNSYLVANIA AVE
BROOKLYN, NY 11239

Kings County (718) 642-9855

DR BRIAN LEVY , DPM

Durable Medical Equipment & Medical Supplies

1390 PENNSYLVANIA AVE, SUITE E
BROOKLYN, NY 11239

Kings County (718) 642-2088

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 Alexandr Nektalov's NPI number?

The NPI number for Alexandr Nektalov is 1962905554. It was assigned to this individual provider in the NPPES registry on March 9, 2018.

Where is Alexandr Nektalov located?

Alexandr Nektalov practices at 1390 Pennsylvania Ave, Brooklyn, NY 11239. The listed phone number is (718) 642-8600.

What is Alexandr Nektalov's specialty?

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

Is Alexandr Nektalov enrolled in Medicare?

Yes. Alexandr Nektalov is registered in the Medicare PECOS enrollment system.

What insurance does Alexandr Nektalov 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 6 other insurers list Alexandr Nektalov 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 Alexandr Nektalov was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.