Individual provider Active NPI

Krista A Strange, DMD

  • Dentist
  • Summerville, SC
National Provider Identifier
1013387216
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10135 Issued in NC
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

Updated by the provider on Jan 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10135NCMDDentist
9131SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Endodontics LLC PastSince Dec 6, 2020 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.

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

Verify at the official NPI Registry.