Active NPI
Kristal Marie Skrmetta, DMD
- Dentist
- Keene, NH
National Provider Identifier
1013587278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 04659
- Practice address
- 391 West St
Keene, NH 03431-2409 - Phone
- (603) 357-0677
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 04659 | NH | Primary |
Addresses
Primary practice location
391 West St
Keene, NH 03431-2409
Mailing address
11 Court St Apt 13
Keene, NH 03431-3457
Phone (407) 301-6362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04659 | NH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1013587278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 COURT ST APT 13",
"city": "KEENE",
"state": "NH",
"postal_code": "034313457",
"telephone_number": "407-301-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 WEST ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034312409",
"telephone_number": "603-357-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKRMETTA",
"first_name": "KRISTAL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "04659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.