Individual provider Active NPI

Kristina Reck, DMD

  • General Practice Dentistry
  • Jbsa Lackland, TX
National Provider Identifier
1033606124
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00203584 Issued in CO
Practice address
59 DG-Af Postgraduate Dental School
2133 Klinker Street, Building 3352
Jbsa Lackland, TX 78236-5313
Phone
(210) 292-7269
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00203584 CO Primary

Addresses

Primary practice location

59 DG-Af Postgraduate Dental School
2133 Klinker Street, Building 3352
Jbsa Lackland, TX 78236-5313

Mailing address

59 DG-Af Postgraduate Dental School
2133 Klinker Street, Building 3352
Jbsa-Lackland, TX 78236-5313
Phone (210) 292-7269

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

LicenseStateTypeSpecialty
DEN.00203584COMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1033606124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DG-AF POSTGRADUATE DENTAL SCHOOL",
            "address_2": "2133 KLINKER STREET, BUILDING 3352",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "782365313",
            "telephone_number": "210-292-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DG-AF POSTGRADUATE DENTAL SCHOOL",
            "address_2": "2133 KLINKER STREET, BUILDING 3352",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365313",
            "telephone_number": "210-292-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECK",
        "first_name": "KRISTINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Lackland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.