DR. ANATOLIY KONOVALOV D.M.D
NPI 1992018766
Dentist in Brooklyn, NY

Active since July 21, 2010PECOS Enrolled
3002 MERMAID AVE, NYC FAMILY DENTAL CARE, BROOKLYN, NY 11224(718) 975-4475 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anatoliy Konovalov D.m.d NPPES

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

DR. ANATOLIY KONOVALOV D.M.D (NPI 1992018766) is an individual dentist in Brooklyn, New York, licensed in New York (054967) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992018766
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ANATOLIY KONOVALOVCredential: D.M.D
Location Address3002 MERMAID AVE, NYC FAMILY DENTAL CAREBrooklyn, NY 11224-2374
Mailing Address3002 Mermaid Ave, Nyc Family Dental CareBrooklyn, NY 11224-2374 · (718) 975-4475
Sole ProprietorNo
Enumeration DateJuly 21, 2010
Last NPPES UpdateSeptember 18, 2014
NPI 1992018766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 054967
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.
3002 MERMAID AVE, Brooklyn, NY 11224

Accepted 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. Anatoliy Konovalov D.m.d 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 11224 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 2

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

Dentist
3002 MERMAID AVE
BROOKLYN, NY 11224
Dental Hygienist
3002 MERMAID AVE
BROOKLYN, NY 11224

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 Anatoliy Konovalov's NPI number?

The NPI number for Anatoliy Konovalov is 1992018766. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Where is Anatoliy Konovalov located?

Anatoliy Konovalov practices at 3002 Mermaid Ave Nyc Family Dental Care, Brooklyn, NY 11224. The listed phone number is (718) 975-4475.

What is Anatoliy Konovalov's specialty?

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

Is Anatoliy Konovalov enrolled in Medicare?

Yes. Anatoliy Konovalov is registered in the Medicare PECOS enrollment system.

What insurance does Anatoliy Konovalov 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 Anatoliy Konovalov 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 Anatoliy Konovalov was last updated on September 18, 2014. 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.