Active NPI
Kristan Joi Ingraham-McQueen, D.M.D.
- Pediatric Dentistry
- Parrish, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 11944
- Practice address
- 10040 US Highway 301 N Ste a
Parrish, FL 34219-8493 - Phone
- (914) 229-8287
- NPI assigned
- May 28, 2015
- Last updated
- May 5, 2025
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 11944 | CT | Primary |
Addresses
Primary practice location
10040 US Highway 301 N Ste a
Parrish, FL 34219-8493
Mailing address
11128 Fieldstone Dr
Palmetto, FL 34221-3890
Phone (203) 722-3027
Other practice location 1
11157 Florida State Road 70
Lakewood Ranch, FL 34202
Phone (941) 229-2348
Other practice location 2
5714 21st Ave W
Bradenton, FL 34209-5606
Phone (941) 229-2348
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K Ingraham-McQueen DMD PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
10040 US Highway 301 N
Ste A
Parrish, FL 34219
Phone (914) 229-8287
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.
-
- Pediatric Dentistry
- Parrish, FL
- NPI 1558255315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1205215837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11128 FIELDSTONE DR",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342213890",
"telephone_number": "203-722-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10040 US HIGHWAY 301 N STE A",
"city": "PARRISH",
"state": "FL",
"postal_code": "342198493",
"telephone_number": "914-229-8287"
}
],
"practiceLocations": [
{
"address_1": "11157 Florida State Road 70",
"address_purpose": "LOCATION",
"city": "Lakewood Ranch",
"state": "FL",
"postal_code": "34202",
"country_code": "US",
"telephone_number": "941-229-2348",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5714 21st Ave W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342095606",
"country_code": "US",
"telephone_number": "941-229-2348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGRAHAM-MCQUEEN",
"first_name": "KRISTAN",
"middle_name": "JOI",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2025-05-05",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CT",
"license": "11944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parrish, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.