Kayla Pietruszka, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12674 Issued in NC

Practice address

Unc School of Dentistry Student Dental Clinic
140 Dental Circle
Chapel Hill, NC 25799

Phone

(919) 537-3230

NPI assigned

Jul 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

State licenses

Interoperability endpoints

• Direct secure messaging: kpietruszka873730@direct.unc.nchie.net

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1184146193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC SCHOOL OF DENTISTRY STUDENT DENTAL CLINIC",
            "address_2": "140 DENTAL CIRCLE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC SCHOOL OF DENTISTRY STUDENT DENTAL CLINIC",
            "address_2": "140 DENTAL CIRCLE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "25799",
            "telephone_number": "919-537-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRUSZKA",
        "first_name": "KAYLA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Pieroni, D.D.S.
• Bethany Pierson, AGACNP-BC
• Timothy Luke Pierson, PNP
• Brian Pietrosimone, ATC
• Blair Pietrowski, LCSWA
• Kaitlyn Sluka Pietrzak, PT
• Michael P Pignone, MD
• Gina Fields Pike, CRNA
• Johnna Webb Pilipchuk, MA, LPA
• Harold C Pillsbury, MD

• Dentist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.