Doctor profile · Federal record
Dr. KONSTANTINE KISELEV, DDS
General Practice Dentistry · STATEN ISLAND, NY
- NPI 1285846899
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
42 GIFFORDS LN
STATEN ISLAND, NY 103082014
(718) 554-4299
fax (718) 273-0226 - Additional location
-
475 Saint Marks Pl
Staten Island, NY 103012408
(718) 273-0225 - Additional location
-
Park Dental Care, 1502 East 14th street
Brooklyn, NY 11230
(718) 376-6006
fax (718) 376-7339
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- June 11, 2019
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- New York #052113
- Medicaid
- NY #02751513
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1285846899. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$475
Transactions
8
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 8 | $475.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
82
Patients
59
Total drug cost
$314
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 43 | 34 | $129 |
| Chlorhexidine Gluconate | Generic | 21 | 12 | $72 |
| Clindamycin Hcl | Generic | 18 | 13 | $113 |