Kathryn Forth

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859672 Issued in MA

Practice address

209 Harvard St Ste 402
Brookline, MA 02446-5005

Phone

(617) 982-2980

NPI assigned

Mar 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1033867130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 HEATH ST APT 304",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021301168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST STE 402",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465005",
            "telephone_number": "617-982-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTH",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca D Forkner, PH.D.
• Samuel Forman, M.D.
• Yulika Forman, LMHC
• Priscilla Forney
• Wendy Louise Forrester, LMFT
• Miranda Fox
• Kellie Foxx-Gonzalez
• Anthony J Fraioli, M.D.
• Katrina Lenore Francis, DPT
• Frank Twarog MD PHD and Curtis Moody MD LLP

• Dentist in Brookline, MA
• Providers in Brookline, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.