Active NPI
Kristina Mendlowski
- Endodontics
- Wyomissing, PA
National Provider Identifier
1205428489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS043767
- Practice address
- 2 Meridian Blvd Ste 216
Wyomissing, PA 19610-3202 - Phone
- (610) 743-5584
- NPI assigned
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS043767 | PA | Primary |
Addresses
Primary practice location
2 Meridian Blvd Ste 216
Wyomissing, PA 19610-3202
Mailing address
3636 Knolls Bend CT
Doylestown, PA 18902-6502
Phone (215) 205-4754
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS043767 | PA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JMK Endodontics LLC | Endodontics | Current | Accepting new patients |
Locations
2 Meridian Blvd
Ste 216
Wyomissing, PA 19610
Phone (610) 743-5584
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.
-
- Endodontics
- Wyomissing, PA
- NPI 1720696123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1205428489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 KNOLLS BEND CT",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189026502",
"telephone_number": "215-205-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MERIDIAN BLVD STE 216",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103202",
"telephone_number": "610-743-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDLOWSKI",
"first_name": "KRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS043767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.