K Self Enterprises PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

K SELF ENTERPRISES PLLC

Practice address

1058 FM 306
#104
New Braunfels, TX 78130

Phone

(830) 730-4143

Fax

(830) 730-4403

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Self, DDSNPI 1497316418

Title

Owner, Pediatric Dentist

Phone

(337) 654-0900

Specialties & licenses 1

Addresses

Other names 2

• River Kids Dental Doing business as
• River Kids Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Self, DDS

  • Pediatric Dentistry
  • New Braunfels, TX
  • NPI 1497316418
  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1063240109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 AVENUE A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305801",
            "telephone_number": "337-654-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 FM 306",
            "address_2": "#104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-730-4143",
            "fax_number": "830-730-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K SELF ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER, PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "337-654-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Kids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert D Julian, MD
• Chelsey Junk, RBT
• Lauren Jupe
• Jade Jurak, MD
• Anthony Jurina
• K&DJ Enterprises
• K&J Domestic Services, LLC
• Kathryn Kaatz
• Kendrick Nelson Kahler, MD
• Rima S Kaikhah, LPC-A

• Pediatric Dentistry in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.