Christina Kallis, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

23736 Issued in FL

Practice address

3801 Hollywood Blvd Ste 225
Hollywood, FL 33021-6849

Phone

(954) 573-1930

NPI assigned

May 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Christina Yidi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1205491834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW 78TH AVE APT 614",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243375",
            "telephone_number": "786-219-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 HOLLYWOOD BLVD STE 225",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216849",
            "telephone_number": "954-573-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIS",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02752300",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "23736",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "23736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "YIDI",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Kader
• Elaine Kahn, ARNP
• Liana Kahn, DDS
• Robin Michelle Kaiser-Silva, APRN
• Mohamad Kaki, DO
• Nicole Kallstrom
• Kam'S Wheelchair Service Inc
• Bailey Shea Kane, MA
• Pamela Mara Kane, D.O.
• Samira Kanetkar, DO

• Endodontics in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.