Active NPI
Krista A Strange, DMD
- Dentist
- Summerville, SC
National Provider Identifier
1013387216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10135
- Practice address
- 508 N Pine St
Summerville, SC 29483-6555 - Phone
- (843) 376-2222
- NPI assigned
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10135 | NC | Primary |
Addresses
Primary practice location
508 N Pine St
Summerville, SC 29483-6555
Mailing address
508 N Pine St
Summerville, SC 29483-6555
Phone (540) 270-9688
Other practice location 1
1098 First Dental Building
Campus Box #7450
Chapel Hill, NC 27599-7450
Phone (919) 537-3403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 9, 2021 through Sep 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10135 | NC | MD | Dentist |
| 9131 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Endodontics LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endodontics
- Summerville, SC
- NPI 1144825993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1013387216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 N PINE ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836555",
"telephone_number": "540-270-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 N PINE ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836555",
"telephone_number": "843-376-2222"
}
],
"practiceLocations": [
{
"address_1": "1098 First Dental Building",
"address_2": "Campus Box #7450",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275997450",
"country_code": "US",
"telephone_number": "919-537-3403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRANGE",
"first_name": "KRISTA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.