Active NPI
Kristin E Dinkelaker, M.D.
- Pediatrics Physician
- Cincinnati, OH
National Provider Identifier
1174813232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35122483
- Practice address
- 663 Anderson Ferry Rd
Cincinnati, OH 45238-4751 - Phone
- (513) 922-8200
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35122483 | OH | Primary |
Addresses
Primary practice location
663 Anderson Ferry Rd
Cincinnati, OH 45238-4751
Mailing address
1202 Oldwick Dr
Cincinnati, OH 45215-4028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109997 | Medicaid | OH |
Other names 1
- Dr. Kristin E Habel
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35122483 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Fairfield, Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2080/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Fairfield, OH
- NPI 1194844746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1174813232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 OLDWICK DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452154028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 ANDERSON FERRY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452384751",
"telephone_number": "513-922-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINKELAKER",
"first_name": "KRISTIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35122483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0109997",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "HABEL",
"middle_name": "E",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.