Individual provider Active NPI

Khrystyna Babenko, DMD

  • Dentist
  • Yulee, FL
National Provider Identifier
1174366553
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30910 Issued in FL
Practice address
463787 FL-200
Yulee, FL 32097
Phone
(904) 526-8803
NPI assigned
Jun 14, 2024
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D-00256 KY
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN30910 FL Primary
Dentist 122300000X DS045411 PA

Addresses

Primary practice location

463787 FL-200
Yulee, FL 32097

Mailing address

463787 FL-200
Yulee, FL 32097
Phone (904) 526-8803

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
DN30910FLMDDentist
D-00256KYMDDentist
DS045411PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Dental Concepts LLC Dentist CurrentSince Dec 7, 2025 Accepting new patients

Locations

2247 Forest Hills Dr
Harrisburg, PA 17112
Phone (717) 545-2232

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1174366553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463787 FL-200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "32097",
            "telephone_number": "904-526-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463787 FL-200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "32097",
            "telephone_number": "904-526-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABENKO",
        "first_name": "KHRYSTYNA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "D-00256",
            "primary": false
        },
        {
            "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": "FL",
            "license": "DN30910",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS045411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.