DR. KONSTANTINE KISELEV DDS NPI 1285846899

NPI Information

  • NPI: 1285846899
  • Provider Name: DR. KONSTANTINE KISELEV, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 42 GIFFORDS LN
    STATEN ISLAND, NY
    ZIP 10308
  • Phone: (718) 554-4299

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NPI Details

DR. Konstantine Kiselev, DDS is a general practice dentist in Staten Island, NY. The provider is 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. DR. Konstantine Kiselev, DDS NPI is 1285846899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

42 GIFFORDS LN
STATEN ISLAND, NY
ZIP 10308-014
Phone: (718) 554-4299
Fax: (718) 273-0226

The enumeration date for this NPI number is 5/4/2007 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice052113NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11285846899OTHERNEW YORKTIN
202751513MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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