NPIMap

Organization Active NPI

Kristo, LTD

Doing business as Kristo Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marinette, WI
National Provider Identifier
1073045860
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3752 Issued in WI
Legal business name
KRISTO, LTD
Doing business as
Kristo Orthodontics
Practice address
1600 Cleveland Ave
Marinette, WI 54143-3923
Phone
(715) 735-7666
NPI assigned
Mar 30, 2017
Last updated
Mar 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Steven J Kristo, DDS, MSNPI 1629202510
Title
Owner
Phone
(715) 835-5182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3752 WI Primary

Addresses

Primary practice location

1600 Cleveland Ave
Marinette, WI 54143-3923

Mailing address

1600 Cleveland Ave
Marinette, WI 54143-3923
Phone (715) 735-7666

Other names 1

  • Kristo Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kristo LTD8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

  • Kristo LTD

    dba Kristo Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • New Richmond, WI
    • NPI 1083093173
    NPD tax ID
  • Kristo LTD

    dba Kristo Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Amery, WI
    • NPI 1093194185
    NPD tax ID
  • Kristo LTD

    dba Kristo Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Baldwin, WI
    • NPI 1104205285
    NPD tax ID
  • Kristo LTD

    dba Shawano Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Shawano, WI
    • NPI 1184260358
    NPD tax ID
  • Kristo LTD
    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Eau Claire, WI
    • NPI 1255447652
    NPD tax ID
  • Kristo LTD

    dba Rapids Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Wisconsin Rapids, WI
    • NPI 1407488075
    NPD tax ID
  • Kristo, LTC

    dba Kristo Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Wausau, WI
    • NPI 1265891501
    NPD tax ID

Locations

1600 Cleveland Ave
Marinette, WI 54143
Phone (715) 735-7666

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1073045860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CLEVELAND AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433923",
            "telephone_number": "715-735-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CLEVELAND AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433923",
            "telephone_number": "715-735-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "KRISTO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-835-5182",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristo Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.